Individual
DR. JERRAD PAUL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 W. ANTHONY DRIVE, ORTHOPEDICS, URBANA, IL 61802
(217) 383-3300
(217) 326-0210
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112913
IL
207X00000X
Orthopaedic Surgery Physician
036112913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112913
—
IL
Enumeration date
08/16/2006
Last updated
05/07/2025
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