Doctor Name: | DR. JANETH CONCEPCION JACINTO ZATA |
NPI Number: | 1710057732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36068286 |
Business Practice Address: | 2 Myrtle Lane Hardin, IL - 620470310 |
Business Phone Number: | 6185762416 |
Business Fax Number: | 6185769298 |
Mailing Address: | Po Box 310, 2 Myrtle Lane HARDIN |
State: | IL |
Postal Code: | 620470310 |
Phone Number: | 6185762416 |
Fax Number: | 6185769298 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 36068286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |