| Keely K Zunker, DNP, RN, ACNPC-AG | |
|
5666 E State St, Rockford, IL 61108-2472 | |
| (815) 238-6540 | |
| Not Available |
| Full Name | Keely K Zunker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 5666 E State St, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346856424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209022033 (Illinois) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 209022003 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyhealth Fhn Hospital | Freeport, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeport Regional Health Care Foundation | 9234041682 | 86 |
| Freeport Memorial Hospital | 8426958232 | 168 |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Entity Name | The Board of Trustees of the University of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Jet Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265052401 PECOS PAC ID: 1456781889 Enrollment ID: O20200424002398 |
| Entity Name | Cardiorenal Therapeutics of Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336752682 PECOS PAC ID: 5395159677 Enrollment ID: O20210127003081 |
| Mailing Address | Practice Location Address |
|---|---|
| Keely K Zunker, DNP, RN, ACNPC-AG 5666 E State St, Rockford, IL 61108-2472 Ph: (815) 238-6540 | Keely K Zunker, DNP, RN, ACNPC-AG 5666 E State St, Rockford, IL 61108-2472 Ph: (815) 238-6540 |