Individual
GILBERTO ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUTIE 318, CHICAGO, IL 60612
(312) 942-6647
(312) 942-3740
Mailing address
1725 W HARRISON ST STE 318, CHICAGO, IL 60612-3817
(312) 942-6647
(312) 942-3740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103577
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627234
BCBS
—
05
—
036103577
—
IL
01
—
110215299
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
05/08/2020
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