| Doctor Name: | MARK EUGENE ZAJACKOWSKI |
| NPI Number: | 1578857264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036-051907 |
| Business Practice Address: | 5445 N Sheridan Rd #3102 Chicago, IL - 606401957 |
| Business Phone Number: | 7732710609 |
| Business Fax Number: | |
| Mailing Address: | 5445 N Sheridan Rd, #3102 CHICAGO |
| State: | IL |
| Postal Code: | 606401957 |
| Phone Number: | 7732710609 |
| Fax Number: | |
| NPI Enumeration Date: | 05/31/2011 |
| NPI Last Update Date: | 05/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036-051907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |