Doctor Name: | MRS. CHRISTINE MARIE ZGORKA |
NPI Number: | 1154574473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 28071763A |
Business Practice Address: | 3210 Watling St # 8-210 East Chicago, IN - 463121716 |
Business Phone Number: | 2193996067 |
Business Fax Number: | 2193995814 |
Mailing Address: | 9813 Crimson Tree Ln, MUNSTER |
State: | IN |
Postal Code: | 463214112 |
Phone Number: | 2199243307 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0106X |
License Number: | 28071763A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |