Individual
DR. JOSEPH A. ZALAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1240
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1240
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-039504
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021128661
RAILROAD MEDICARE
IL
05
—
036039504 1
—
IL
01
—
279500
MEDICARE GROUP
IL
01
—
279502
MEDICARE UROLOGY CLIA GROUP
IL
Enumeration date
08/05/2006
Last updated
11/03/2014
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