Jack S. Zoldan is a Specialist in Chicago, Illinois. Jack S. Zoldan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack S. Zoldan is 1770544629. The last update date is 2010-02-17.
Jack S. Zoldan's current location address is 5015 N Paulina St, Chicago, Illinois. You can contact this provider via phone number 7735616573 and fax number 7735618323. The mailing address for Jack S. Zoldan is 5015 N Paulina St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack S. Zoldan |
|---|---|
| Address | 5015 N Paulina St, Chicago, Illinois |
| Phone Number | 7735616573 |
| Fax Number | 7735618323 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770544629 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
| Address | 5015 N Paulina St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606402756 |
| Phone Number | 7735616573 |
| Fax Number | 7735618323 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36053375 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36053375 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack S. Zoldan by the Centers for Medicare & Medicaid Services (CMS)?
The Jack S. Zoldan has been assigned the NPI (National Provider Identifier) 1770544629. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jack S. Zoldan?
The Jack S. Zoldan is physically situated at 5015 N Paulina St, in the city of Chicago, state of IL, with the postal code 606402756.
What is the Jack S. Zoldan's specialty and taxonomy code?
The Jack S. Zoldan's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Jack S. Zoldan receive its 1770544629 assignment?
The Jack S. Zoldan was assigned its 1770544629 on 2006-03-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jack S. Zoldan most recently updated or revised?
The details related to Jack S. Zoldan, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-17.
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