Provider Demographics
NPI:1205665825
Name:ZURKOWSKI, VICTORIA GAYE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:GAYE
Last Name:ZURKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 N OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2522
Mailing Address - Country:US
Mailing Address - Phone:630-207-2603
Mailing Address - Fax:
Practice Address - Street 1:17W535 BUTTERFIELD RD STE 1
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4010
Practice Address - Country:US
Practice Address - Phone:630-207-2603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILF05240652363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner