Zachary David Michalicek D.O.

NPI 1134482318 - Pathology - 207ZP0102X

NPI Details
NPI 1134482318
Gender Male
Enumeration Date 06/21/2012
Last Updated 06/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2650 RIDGE AVE
EVANSTON IL, 60201-1718, US
Phone (847) 570-2779
Fax
Business Location
7625 N EASTLAKE TER APT 106
CHICAGO IL, 60626-1469, US
Phone (515) 770-6288
Fax
Toxanomy
Taxonomy Code 207ZP0102X
License State Illinois
License Number 125061507
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According to our database, Dr. Zachary David Michalicek D.O. NPI is 1134482318, taxonomy code is 207ZP0102X and license number is 125061507, license state is located at Illinois. Zachary David Michalicek D.O. physically located at 2650 Ridge Ave, Evanston IL, 60201-1718. NPI Number Zachary David Michalicek D.O. has the Individual type.

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1134482318 NPI number is provided on an as is basis without warranty of any kind. 1134482318 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary David Michalicek D.O. are for informational purposes only.