Individual
DR. NICHOLAS ZAWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
2427 N MARSHFIELD AVE, CHICAGO, IL 60614-1925
(917) 924-0858
Mailing address
2427 N MARSHFIELD AVE, CHICAGO, IL 60614-1925
(917) 924-0858
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019031443
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2012
Last updated
06/16/2022
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