Individual
DR. KOMAL D'SOUZA ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-7058
(847) 535-7023
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-7058
(847) 535-7023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120966
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036150485
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036150485
IL
Other
Enumeration date
04/04/2011
Last updated
12/29/2021
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