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NPI Code Detail

MEDICARE: THOMAS MACNEILL-ZIMMERMAN D.C.

MEDICARE: THOMAS MACNEILL-ZIMMERMAN D.C.
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
1111N00000XChiropractor038-007981IL

General Provider Information

NPI Number : 1255423372
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MACNEILL-ZIMMERMAN D.C.
Provider Business Mailing Address
First Line : 2625 BUTTERFIELD RD
Second Line : STE 301N
City : OAK BROOK
State : IL
Zip : 60523-1234
Country : US
Telephone Number : 630-468-1824
Fax Number : 630-701-1007
Provider Business Practice Location Address
First Line : 1644 E 53RD ST
Second Line : SUITE A
City : CHICAGO
State : IL
Zip : 60615-4210
Country : US
Telephone Number : 773-322-1123
Fax Number : 773-322-1126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/21/2015

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Directions to “ THOMAS MACNEILL-ZIMMERMAN D.C.” Practice Location

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