Melissa Jo Zizzo, D.T. – Specialist in Gurnee, IL

Key facts

NPI: 1477845907
Entity type: Individual (NPI type 1)
Primary specialty: Specialist 174400000X
Practice address: 17532 W Stillwater CT
Gurnee, IL 60031-4507
Phone: (847) 366-2162
NPI assigned: May 2, 2011
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist	174400000X			Yes

Addresses

Primary practice location

17532 W Stillwater CT
Gurnee, IL 60031-4507

Mailing address

17532 W Stillwater CT
Gurnee, IL 60031-4507
Phone (847) 366-2162

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2011.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1477845907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17532 W STILLWATER CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314507",
            "telephone_number": "847-366-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17532 W STILLWATER CT",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314507",
            "telephone_number": "847-366-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZO",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "D.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

All providers in Gurnee, IL · Specialist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.