MEDICARE: DR. TONY ZEMLINSKY DC

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	038009857	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1633237	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760515936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY ZEMLINSKY DC

Provider Business Mailing Address
First Line	:	2409 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5316
Country	:	US
Telephone Number	:	773-489-0001
Fax Number	:	773-489-0003

Provider Business Practice Location Address
First Line	:	2409 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5316
Country	:	US
Telephone Number	:	773-489-0001
Fax Number	:	773-489-0003

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	02/28/2022

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