Healthcare Provider Details

I. General information

NPI: 1669688966
Provider Name (Legal Business Name): ZIBUTE G. ZAPARACKAS, MD AND PAUL A. KNEPPER, MD, PHD, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E HURON ST SUITE 1000
CHICAGO IL
60611-2999
US

IV. Provider business mailing address

150 E HURON ST SUITE 1000
CHICAGO IL
60611-2999
US

V. Phone/Fax

Practice location:
  • Phone: 312-337-1285
  • Fax: 312-337-1452
Mailing address:
  • Phone: 312-337-1285
  • Fax: 312-337-1452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA LINQUIST
Title or Position: OFFICE MANAGER
Credential:
Phone: 312-337-1285