Individual
TODD C ZISHOLTZ
Active
Individual
TODD C ZISHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036130871
IL
207P00000X
Emergency Medicine Physician
EMTL-2021-026
GU
207P00000X
Emergency Medicine Physician
Primary
M-2285
GU
207Q00000X
Family Medicine Physician
036130871
IL
207Q00000X
Family Medicine Physician
M-2285
GU
207Q00000X
Family Medicine Physician
ME94395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130871
—
IL
01
—
IL5686073
MEDICARE PTAN
IL
Enumeration date
07/05/2006
Last updated
03/07/2023
Update your record
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