Provider Demographics
NPI:1407562325
Name:ZAMFIR, ECATERINA (AGNP-C)
Entity Type:Individual
Prefix:
First Name:ECATERINA
Middle Name:
Last Name:ZAMFIR
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 MARENGO AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-2033
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:708-722-1747
Practice Address - Street 1:5600 W ADDISON ST LOWR 3LL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-4444
Practice Address - Country:US
Practice Address - Phone:708-765-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.026740363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care