Provider Demographics
NPI:1508157363
Name:SULIT, ZENAIDA CASTRO (RN)
Entity Type:Individual
Prefix:MS
First Name:ZENAIDA
Middle Name:CASTRO
Last Name:SULIT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4822 N BROADWAY ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-3604
Mailing Address - Country:US
Mailing Address - Phone:773-433-1200
Mailing Address - Fax:
Practice Address - Street 1:4822 N BROADWAY ST FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-3604
Practice Address - Country:US
Practice Address - Phone:773-433-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041306160163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041306160OtherDEPT. OF FINANCIAL & PROFESSIONAL REGULATION DIVISION OF PROFESSIONAL REGULATION