NPI 1003194796

Jacqueline Rose Zdon, PAC

Practitioner Surgical Physician Assistant Oak Lawn, IL

Practice location

Address: 4400 W 95th St Suite 205, Oak Lawn, IL 60453-2654
Phone: (708) 346-4040
Fax: (708) 346-3287

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085-004090 (IL)

Other Physician Assistant providers in Illinois →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 2832-023 (WI)

Registry record

NPI: 1003194796
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2011
Record last updated: 22 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.