Individual
JOHN R ZECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1813 W. KIRBY AVE., ALLERGY, CHAMPAIGN, IL 61821-5410
(217) 383-3450
(217) 383-3439
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-3439
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036078333
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078333
—
IL
Enumeration date
09/20/2006
Last updated
03/17/2015
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