Organization
DENNIS R ZIDEK DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R ZIDEK D.C. (OWNER)
(815) 728-0300
Entity
Organization
Contact information
Practice address
5323 E WONDER LAKE RD, WONDER LAKE, IL 60097-9051
(815) 728-0300
(815) 728-1515
Mailing address
5323 E WONDER LAKE RD, WONDER LAKE, IL 60097-9051
(815) 728-0300
(815) 728-1515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003651
IL
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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