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NPI Code Detail

MEDICARE: DR. CHAD JEREMY ZAWITZ MD

MEDICARE: DR. CHAD JEREMY ZAWITZ MD
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 Physician036-107139IL
2207RI0200XInfectious Disease Physician036107139IL

General Provider Information

NPI Number : 1548384852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD JEREMY ZAWITZ MD
Provider Business Mailing Address
First Line : 1450 W SUMMERDALE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2116
Country : US
Telephone Number : 312-969-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-5107
Country : US
Telephone Number : 773-674-2954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 05/04/2021

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