Organization
MERRILL J ZAHTZ MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRILL J ZAHTZ M.D., S.C. (PRESIDENT)
(773) 478-1197
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 408, EVANSTON, IL 60202-3439
(847) 316-4744
(847) 475-6835
Mailing address
3525 W GRANVILLE AVE, CHICAGO, IL 60659-2221
(773) 478-1197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360563631
—
IL
Enumeration date
10/26/2007
Last updated
10/26/2007
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