Organization
LAWRENCE H. ZAGER, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE H. ZAGER DDS, PC (OWNER)
(312) 372-0411
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST, SUITE 825, CHICAGO, IL 60602-1708
(312) 372-0411
Mailing address
25 E WASHINGTON ST, SUITE 825, CHICAGO, IL 60602-1708
(312) 372-0411
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245227867
NPI
IL
01
—
80006190
BCBS PROVIDER
IL
Enumeration date
06/29/2007
Last updated
07/13/2007
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