MEDICARE: TODD LEWIS ZIMMERMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	OS8330	FL
2	208000000X	Pediatrics Physician	DO2300	NV
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	DO2300	NV
4	207P00000X	Emergency Medicine Physician	036097110	IL

General Provider Information

NPI Number	:	1215910245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD LEWIS ZIMMERMAN DO

Provider Business Mailing Address
First Line	:	PO BOX 87904
Second Line	:	DEPT 2049
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-7904
Country	:	US
Telephone Number	:	630-734-0200
Fax Number	:	630-734-1560

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD RD
Second Line	:
City	:	ELK GROVE VLG
State	:	IL
Zip	:	60007-3311
Country	:	US
Telephone Number	:	847-437-5500
Fax Number	:	630-734-1560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	09/11/2025

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Directions to “ TODD LEWIS ZIMMERMAN DO” Practice Location

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