Individual
CARLOS H ZAMBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
—
01636111
BLUE CROSS BLUE SHIELD
IL
05
—
036098517
—
IL
Enumeration date
03/27/2006
Last updated
02/18/2015
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