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1457713901

NPI Code Detail

MEDICARE: DR. ALEJANDRO ZAMUDIO M.D

MEDICARE: DR. ALEJANDRO ZAMUDIO 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	208000000X	Pediatrics Physician	036154056	IL
2	208000000X	Pediatrics Physician	4301501815	MI
3	208M00000X	Hospitalist Physician	01093405A	IN
4	208000000X	Pediatrics Physician	01093405A	IN
5	208M00000X	Hospitalist Physician	036154056	IL
6	208000000X	Pediatrics Physician	35.143715	OH
7	208000000X	Pediatrics Physician	MD481005	PA
8	208M00000X	Hospitalist Physician	35.143715	OH

General Provider Information

NPI Number	:	1457713901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEJANDRO ZAMUDIO M.D

Provider Business Mailing Address
First Line	:	608 DUNDEE AVE
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3821
Country	:	US
Telephone Number	:	847-289-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 GULL RD
Second Line	:
City	:	KALAMAZOO
State	:	MI
Zip	:	49048-1640
Country	:	US
Telephone Number	:	269-226-5074
Fax Number	:

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

Provider Enumeration Date	:	03/23/2016
Last Update Date	:	01/26/2026

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Directions to “ DR. ALEJANDRO ZAMUDIO M.D” Practice Location

Language	Start Address	Practice Location

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