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General NPI Number Information
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NPI Number | 1992675185
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Entity Type | Individual
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Provider Name | MR. JUSTIN ZELINSKI
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Gender | Male
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 818 LAKE ST
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City | EVANSTON
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State | IL
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Zip | 60201-4317
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Country | US
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Telephone | 847-864-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 319 HAZELWOOD DR
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City | ANTIOCH
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State | IL
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Zip | 60002-1630
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Country | US
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Telephone | 224-645-4254
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.021764
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License Number State | IL
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