Zonfrilli, Mary Jayne

Zonfrilli, Mary Jayne is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Zonfrilli, Mary Jayne can be contacted via phone (217) 383-3326.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 383-3326
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002856 Illinois

Profile Details

NPI number 1972873271
LBN Legal business name Zonfrilli, Mary Jayne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Aug 1st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972873271 NPPES
Illinois MEDICAID 036080035

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