Individual
DR. CLARK A. ZEDDIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 BRIARGATE DR STE 100, SOUTH ELGIN, IL 60177-2225
(847) 622-0506
(847) 622-0507
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077324
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077324
—
IL
Enumeration date
07/28/2005
Last updated
09/11/2023
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