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Zachary Miksanek

NPI 1316351315 · on the registry since 2014

Practice

Address
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone
(309) 655-7257
Organisation at this address
University Of Illinois
University Of Illinois
St. Francis Medical Center
Saint Francis Medical Center
Saint Francis Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,001

Additional practice sites

  • 201 S 14th St, Herrin, IL
  • 2 S Hospital Dr, Murphysboro, IL
  • 405 W Jackson St, Carbondale, IL

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois