MEDICARE: DR. WILLIAM PATRICK ZELLER M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036-057718	IL
2	2080P0205X	Pediatric Endocrinology Physician	036-057718	IL

General Provider Information

NPI Number	:	1699738922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM PATRICK ZELLER M.D.

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5900
Fax Number	:	847-390-4757

Provider Business Practice Location Address
First Line	:	2001 N GARY AVE
Second Line	:	SUITE 240
City	:	WHEATON
State	:	IL
Zip	:	60187-3055
Country	:	US
Telephone Number	:	630-416-4501
Fax Number	:	630-416-4504

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	06/21/2022

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