Doctor Name: | JEFF ZHANG |
NPI Number: | 1942484209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 5201 Willow Springs Rd Ste 290 La Grange Highlands, IL - 605256537 |
Business Phone Number: | 7085790018 |
Business Fax Number: | 7085797571 |
Mailing Address: | 5201 Willow Springs Rd, Ste 290 LA GRANGE HIGHLANDS |
State: | IL |
Postal Code: | 605256537 |
Phone Number: | 6303127865 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2007 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |