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Dr. Jack S. Zoldan, MD
Specialist in Chicago, Illinois
NPI 1770544629

Jack S. Zoldan is a Specialist based in Chicago, IL. Jack S. Zoldan practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Jack S. Zoldan is 1770544629 and holds a License No. 036053375 (Illinois).

The current practice location address for Jack S. Zoldan is 5015 N Paulina St, Chicago, IL and can be reached out via phone at 773-561-6573 and via fax at 773-561-8323.

Location: 5015 N Paulina St, Chicago, IL, 60640-2756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770544629
Provider Name
Jack S. Zoldan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5015 N Paulina St, Chicago, IL, 60640-2756
Phone Number
773-561-6573
Fax Number
773-561-8323
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036053375 05 IL
institution
Provider Business Practice Location Address Details
Address
5015 N Paulina St
City
Chicago
State
Illinois
Zip
60640-2756
Phone Number
773-561-6573
Fax Number
773-561-8323
person
Provider Business Mailing Address Details
Address
5015 N Paulina St
City
Chicago
State
Illinois
Zip
60640-2756
Phone Number
773-561-6573
Fax Number
773-561-8323
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036053375 (Illinois)
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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