Individual
ZISANSHA ZAHIRSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4533
(708) 216-5446
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01092507A
IN
207N00000X
Dermatology Physician
Primary
036.168450
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036.168450
IL
Other
Enumeration date
04/08/2020
Last updated
07/18/2025
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