Organization
JUAN F ZAPATA, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN F ZAPATA M.D. (OWNER)
(773) 930-3642
Entity
Organization
Contact information
Practice address
4959 W BELMONT AVE, SUITE N, CHICAGO, IL 60641-4332
(773) 930-3642
(773) 930-3974
Mailing address
4959 W BELMONT AVE, SUITE N, CHICAGO, IL 60641-4332
(773) 930-3642
(773) 930-3974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110036
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636792
BCBS OF IL
—
01
—
1184668618
NPI
—
01
—
DO9541
RR MEDICARE
—
Enumeration date
12/20/2006
Last updated
05/16/2012
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