Provider Demographics
NPI:1538512934
Name:ZIMA, ANETA (NP)
Entity Type:Individual
Prefix:
First Name:ANETA
Middle Name:
Last Name:ZIMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 E. GOLF RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4968
Mailing Address - Country:US
Mailing Address - Phone:224-404-6000
Mailing Address - Fax:773-774-0019
Practice Address - Street 1:657 E. GOLF RD
Practice Address - Street 2:SUITE 309
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4968
Practice Address - Country:US
Practice Address - Phone:224-404-6000
Practice Address - Fax:773-774-0019
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013946363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily