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Individual

STEPHEN A ZASADNY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10751 W 143RD ST, ORLAND PARK, IL 60462-1900
(708) 460-8688
(708) 460-9272
Mailing address
10751 W 143RD ST, ORLAND PARK, IL 60462-1900
(708) 460-8688
(708) 460-9272

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01682508
BLUE CROSS BLUE SHIELD
IL
01
1001719
AETNA HMO
IL
01
4656196
AETNA NON HMO
IL
Enumeration date
08/18/2005
Last updated
07/08/2007
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