| Doctor Name: | MRS. DIANE MARIE ZUELKE |
| NPI Number: | 1093024200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-FNP-BC |
| License Number: | 209008388 |
| Business Practice Address: | 1300 Dresden Dr Morris, IL - 604502476 |
| Business Phone Number: | 8159425220 |
| Business Fax Number: | 8159425330 |
| Mailing Address: | 2317 Taylor St, JOLIET |
| State: | IL |
| Postal Code: | 604355435 |
| Phone Number: | 8157418258 |
| Fax Number: | 8159425330 |
| NPI Enumeration Date: | 10/05/2010 |
| NPI Last Update Date: | 10/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209008388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |