MEDICARE: DR. STEVEN L. ZADEL O.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	152W00000X	Optometrist		IL

General Provider Information

NPI Number	:	1952440406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN L. ZADEL O.D.

Provider Business Mailing Address
First Line	:	913 W VAN BUREN ST
Second Line	:	5 B
City	:	CHICAGO
State	:	IL
Zip	:	60607
Country	:	US
Telephone Number	:	312-997-9984
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 N WABASH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4714
Country	:	US
Telephone Number	:	312-588-0401
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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