Provider Demographics
NPI:1780088948
Name:ZIELINSKI, KATHLEEN ANNE (CPNP)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ANNE
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:24600 W 127TH ST
Mailing Address - Street 2:BUILDING B, SUITE 345
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9507
Mailing Address - Country:US
Mailing Address - Phone:815-609-5437
Mailing Address - Fax:815-609-8111
Practice Address - Street 1:24600 W 127TH ST
Practice Address - Street 2:BUILDING B, SUITE 345
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9507
Practice Address - Country:US
Practice Address - Phone:815-609-5437
Practice Address - Fax:815-609-8111
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL309007572363LP0200X
IL041380014363LP0200X
IL377000658363LP0200X
IL209011415363LP0200X
IL277000680363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics