Provider Demographics
NPI:1922260694
Name:ZAUN, ELIZABETH (DDS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ZAUN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 N ORCHARD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-7940
Mailing Address - Country:US
Mailing Address - Phone:630-907-2700
Mailing Address - Fax:630-907-9468
Practice Address - Street 1:1480 N ORCHARD RD STE 104
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-7940
Practice Address - Country:US
Practice Address - Phone:630-907-2700
Practice Address - Fax:630-907-9468
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0284421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice