Individual
MICHAEL ZDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 HOLLISTER DR, SUITE 210, LIBERTYVILLE, IL 60064-5284
(947) 918-9420
(847) 918-9494
Mailing address
3333 GREEN BAY RD, CHICAGO MEDICAL SCHOOL, NORTH CHICAGO, IL 60064-3037
(847) 578-8714
(847) 775-6504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
2086S0102X
Surgical Critical Care Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-077985
—
IL
Enumeration date
09/19/2005
Last updated
09/26/2007
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