Organization
MERRILL J ZAHTZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRILL ZAHTZ MD (PROVIDER)
(773) 621-6489
Entity
Organization
Contact information
Practice address
8170 MCCORMICK BLVD, SUITE 204, SKOKIE, IL 60076-2961
(773) 621-6489
(847) 410-2041
Mailing address
PO BOX 597130, CHICAGO, IL 60659-7130
(773) 621-6489
(847) 410-2041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0360563631
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056363
—
IL
Enumeration date
09/23/2008
Last updated
09/23/2008
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