Individual
DR. ALEX ZEVAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, FIACA, DABCI
Contact information
Practice address
109 1ST ST, BLOOMINGDALE, IL 60108-1219
(630) 539-5822
(630) 539-5823
Mailing address
PO BOX 6548, BLOOMINGDALE, IL 60108-6548
(630) 539-5822
(630) 539-5823
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038-007306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222-0421
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
09/29/2006
Last updated
09/15/2009
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