| Doctor Name: | MISS JACQUELINE ROSE ZDON |
| NPI Number: | 1003194796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 2832-023 |
| Business Practice Address: | 4400 W 95th St Suite 205 Oak Lawn, IL - 604532654 |
| Business Phone Number: | 7083464040 |
| Business Fax Number: | 7083463287 |
| Mailing Address: | 4400 W 95th St, Suite 205 OAK LAWN |
| State: | IL |
| Postal Code: | 604532654 |
| Phone Number: | 7083464040 |
| Fax Number: | 7083463287 |
| NPI Enumeration Date: | 07/28/2011 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2832-023 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |