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Individual

ASHLEY ZINNAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
1525 E 55TH ST STE 204, CHICAGO, IL 60615-5512
(312) 757-5270
(312) 757-5265
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 424-0392
(630) 424-0467

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000328
224P00000X
Prosthetist
211000276

Other

Enumeration date
03/02/2018
Last updated
03/02/2018
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