Provider Demographics
NPI:1932262292
Name:ZIEGLER, DAWN (DNP APN CNP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:DNP APN CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 COUNTY FARM
Mailing Address - Street 2:ADVOCATE CLINIC AT WALGREENS
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-5104
Mailing Address - Country:US
Mailing Address - Phone:224-225-0250
Mailing Address - Fax:
Practice Address - Street 1:5500 COUNTY FARM
Practice Address - Street 2:ADVOCATE CLINIC AT WALGREENS
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-5104
Practice Address - Country:US
Practice Address - Phone:224-225-0250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL309001592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
209002463OtherST LIS
309001592OtherCONT SUB