ROKSOLANA ZADERETSKII (NPI# 1194229765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194229765 |
| Entity Type | Individual |
| Full Name | ROKSOLANA ZADERETSKII |
| Credential | PA |
| Practice Address |
801 S Washington St Fl 4 Naperville IL 60540-7430 |
| Mailing Address |
2650 Warrenville Rd Ste 280 Downers Grove IL 60515-2075 |
| Practice Telephone | 6304168500 |
| Practice Fax Number | 6304168694 |
| Mailing Telephone | 6303247900 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085006520 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 S WASHINGTON ST FL 4 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326337130 | Owais M Malick | Internal Medicine | 801 S Washington St Fl 4, Naperville, IL 60540-7430 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619242559 | James Edward Pressley II | Physician Assistant | 28w767 Leverenz Rd # 7, Naperville, IL 60564-8969 | 2012-03-10 |
| 1457864506 | Jessica Berg | Physician Assistant | 120 Spalding Dr Ste 207, Naperville, IL 60540-6520 | 2017-11-12 |
| 1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
| 1699073585 | Asen Asenov | Physician Assistant | 608 S Washington St Ste 204, Naperville, IL 60540-6675 | 2011-03-02 |
| 1336445717 | Katerina Diana Shull | Physician Assistant | 100 Spalding Dr, Suite 300, Naperville, IL 60540-6550 | 2011-02-02 |
| 1467752402 | David Jonathan Tan | Physician Assistant | 2940 Rollingridge Rd, Suite 102, Naperville, IL 60564-4231 | 2010-10-25 |
| 1306160841 | Agnes Agustin Luz | Physician Assistant | 608 S Washington St, Naperville, IL 60540-6663 | 2010-03-25 |
| 1558484337 | Christopher Casey Mcgee | Physician Assistant | 120 Spalding Dr, Ste 400, Naperville, IL 60540-6508 | 2007-04-09 |
| 1255341681 | Misty Wessing | Physician Assistant | 1259 Rickert Dr, Suite #200, Naperville, IL 60540-8902 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on ROKSOLANA ZADERETSKII.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.