Individual
DR. ZACHARY ALEXANDER WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC1035, CHICAGO, IL 60637-1443
(773) 702-1865
(773) 834-3888
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
100647
GA
207Y00000X
Otolaryngology Physician
125.075059
IL
207YX0602X
Otolaryngic Allergy Physician
Primary
100647
GA
Other
Enumeration date
03/27/2019
Last updated
09/18/2024
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