Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryeileen Zajac

Individual provider Acute Care Nurse Practitioner · NPI 1114511367

Maryeileen Zajac is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

675 N Saint Clair St Ste 19-100
Chicago, IL 60611-5969
Phone: (312) 664-3278
Fax: (312) 695-5774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209022729 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209022729 (IL)

Record details

NPI number1114511367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing address675 N Saint Clair St Ste 19-100, Chicago, IL 60611-5969

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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