| Doctor Name: | DR. JUAN ABELARDO ZABALETA |
| NPI Number: | 1689857021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | 036-044668 |
| Business Practice Address: | 7601 W Montrose Ave Suite 1 Norridge, IL - 607061000 |
| Business Phone Number: | 7084525500 |
| Business Fax Number: | 7084525547 |
| Mailing Address: | 7601 W Montrose Ave, Suite 1 NORRIDGE |
| State: | IL |
| Postal Code: | 607061000 |
| Phone Number: | 7084525500 |
| Fax Number: | 7084525547 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 036-044668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |