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Individual

JOSHUA ZALOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4289
Mailing address
1547 N HUDSON AVE UNIT 4, CHICAGO, IL 60610-1129
(215) 805-4615

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10002320A
IN
363A00000X
Physician Assistant
085006703
IL
363A00000X
Physician Assistant
Primary
10002320A
IN

Other

Enumeration date
09/28/2017
Last updated
10/12/2020
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