Individual
DR. JAVIER ZAVALETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1753 W CHICAGO AVE, CHICAGO, IL 60622-5009
(312) 226-3633
Mailing address
1753 W CHICAGO AVE, CHICAGO, IL 60622-5009
(312) 226-3633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036044669
IL
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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