Provider Demographics
NPI:1922325547
Name:ZEUTHEN, ELIZABETH KISHEL (NP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KISHEL
Last Name:ZEUTHEN
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 W MARTIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6535
Mailing Address - Country:US
Mailing Address - Phone:630-369-7700
Mailing Address - Fax:630-369-7705
Practice Address - Street 1:10 W MARTIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6535
Practice Address - Country:US
Practice Address - Phone:630-369-7700
Practice Address - Fax:630-369-7705
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209.002277363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology