MEDICARE: DR. DEBORAH LEE ZELENY D.C.

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	111N00000X	Chiropractor	38010697	IL

General Provider Information

NPI Number	:	1699710723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH LEE ZELENY D.C.

Provider Business Mailing Address
First Line	:	330 CEDAR LN
Second Line	:	APT. 102
City	:	GLEN ELLYN
State	:	IL
Zip	:	60137-6652
Country	:	US
Telephone Number	:	630-306-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1702 W CAMPBELL ST
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1518
Country	:	US
Telephone Number	:	847-259-4493
Fax Number	:

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

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	07/08/2007

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