Zachary John Bastian M.D.

NPI 1013259241 - Surgery - 208600000X

NPI Details
NPI 1013259241
Gender Male
Enumeration Date 03/26/2013
Last Updated 07/11/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 327-3436
Fax
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 327-3436
Fax
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 125.064133
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According to our database, Zachary John Bastian M.D. NPI is 1013259241, taxonomy code is 208600000X and license number is 125.064133, license state is located at Illinois. Zachary John Bastian M.D. physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Zachary John Bastian M.D. has the Individual type.

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1013259241 NPI number is provided on an as is basis without warranty of any kind. 1013259241 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary John Bastian M.D. are for informational purposes only.