Organization
CARLOS H ZAMBRANO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS H ZAMBRANO MD (MD/DIRECTOR)
(773) 486-8820
Entity
Organization
Contact information
Practice address
2434 W DIVISION ST, CHICAGO, IL 60622-2942
(773) 486-8820
(773) 486-8823
Mailing address
PO BOX 8088, WILMETTE, IL 60091-8088
(773) 486-8820
(773) 486-8823
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036098517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636111
BLUE CROSS/BLUE SHIELD
IL
01
—
615318700
US DEPARTMENT OF LABOR
IL
01
—
615318701
US DEPARTMENT OF LABOR
IL
Enumeration date
07/13/2006
Last updated
08/28/2015
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