Zoldan, Jack S.

Zoldan, Jack S. is an individual health care provider with primary practice located at 5015 N Paulina St Suite 315, Chicago IL 60640-2756. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Zoldan, Jack S. can be contacted via phone (773) 561-6573.

Contact Information

Primary practice address
5015 N Paulina St Suite 315 Chicago IL 60640-2756
Phone: (773) 561-6573
Fax: (773) 561-8323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036053375 Illinois

Profile Details

NPI number 1770544629
LBN Legal business name Zoldan, Jack S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Feb 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770544629 NPPES
Illinois MEDICAID 036053375

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