Basic Information
Provider Information
NPI: 1023213626
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZILINSKI
FirstName: JODI
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2801 W KINNICKINNIC RIVER PKWY
Address2: SUITE 777
City: MILWAUKEE
State: WI
PostalCode: 532153669
CountryCode: US
TelephoneNumber: 4146493390
FaxNumber: 4146495769
Practice Location
Address1: 2801 W KINNICKINNIC RIVER PKWY
Address2: SUITE 777
City: MILWAUKEE
State: WI
PostalCode: 532153669
CountryCode: US
TelephoneNumber: 4146493390
FaxNumber: 4146495769
Other Information
ProviderEnumerationDate: 06/15/2007
LastUpdateDate: 11/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X64161-20WIN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001X64161-20WIY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


Home