Individual
MR. JOHN L. ZOZZARO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1713 FORT JESSE RD, SUITE D, NORMAL, IL 61761-6208
(309) 862-2225
(309) 862-2229
Mailing address
1713 FORT JESSE RD, SUITE D, NORMAL, IL 61761-6235
(309) 862-2225
(309) 862-2229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002334074002
UNITED HEALTH CARE
IL
01
—
094634
HEALTH ALLIANCE
IL
01
—
5732064
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/05/2006
Last updated
07/08/2007
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