Provider Demographics
NPI:1821868613
Name:MAREK, ANNA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MAREK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:ZABOROWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:907 RIVERS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:MINOOKA
Mailing Address - State:IL
Mailing Address - Zip Code:60447-4604
Mailing Address - Country:US
Mailing Address - Phone:773-406-3165
Mailing Address - Fax:
Practice Address - Street 1:2070 N IL-50
Practice Address - Street 2:#500
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914
Practice Address - Country:US
Practice Address - Phone:779-236-4094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041391530163W00000X
IL209021277363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse