Individual
IVAN ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 W CERMAK RD, CHICAGO, IL 60616-1913
(312) 889-1239
Mailing address
2545 S HILLOCK AVE, CHICAGO, IL 60608-5736
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001469
IL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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