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Organization
ZOZZARO GROUP LLC
Active
Organization
ZOZZARO GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ZOZZARO (OWNER)
(309) 862-2225
Entity
Organization
Contact information
Practice address
1713 FORT JESSE RD STE D, NORMAL, IL 61761-6235
(309) 862-2225
Mailing address
1713 FORT JESSE ROAD STE D, NORMAL, IL 61761
(309) 862-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008222
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275581993
TYPE 1 NPI
IL
Enumeration date
06/17/2008
Last updated
06/17/2008
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