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

Zeruya Gaddam, APRN

Individual provider Family Nurse Practitioner · NPI 1578304366

Zeruya Gaddam, APRN is a Nurse Practitioner in South Holland, Illinois. Qualified in 2023, 3 years ago. Practices with County of Lake, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

430 E 162nd St # 487
South Holland, IL 60473-2258
Phone: (708) 960-4280
Fax: (708) 816-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028493 (IL)

Record details

NPI number1578304366
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice County Of Lake — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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