George Dimitrv Zdravkov, M.D.

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

1420 Renaissance Dr Ste 400
Park Ridge, IL 60068-1345

Phone

(847) 207-8593

Fax

(847) 803-1806

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043369796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 400",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681345",
            "telephone_number": "847-207-8593",
            "fax_number": "847-803-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 400",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681345",
            "telephone_number": "847-207-8593",
            "fax_number": "847-803-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDRAVKOV",
        "first_name": "GEORGE",
        "middle_name": "DIMITRV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Other Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.