Provider Demographics
NPI:1861605321
Name:ZEEK, DIANE MARY (CNP, CWOCN)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:MARY
Last Name:ZEEK
Suffix:
Gender:F
Credentials:CNP, CWOCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11650 S IL ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9613
Mailing Address - Country:US
Mailing Address - Phone:847-802-7300
Mailing Address - Fax:847-668-2647
Practice Address - Street 1:11650 S IL ROUTE 47
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142
Practice Address - Country:US
Practice Address - Phone:847-802-7300
Practice Address - Fax:847-668-2647
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.006474363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209006474OtherSTATE LICENSE