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NPI Code Detail

MEDICARE: ZAPATA MEDICAL CENTER

MEDICARE: ZAPATA MEDICAL CENTER
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1457591778
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZAPATA MEDICAL CENTER
Provider Business Mailing Address
First Line : 7107 W BELMONT AVE STE 5
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4500
Country : US
Telephone Number : 773-622-4400
Fax Number : 773-622-4407
Provider Business Practice Location Address
First Line : 3743 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-2330
Country : US
Telephone Number : 773-698-7004
Fax Number : 773-698-7010
Authorized Official
Title or Position : DOCTOR
Name : DR. JUAN FERNANDO ZAPATA
Credential : MD
Telephone Number : 773-698-7004
Provider Enumeration Date : 02/26/2009
Last Update Date : 02/26/2009

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Directions to “ZAPATA MEDICAL CENTER ” Practice Location

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