Jack Zoldan, MD LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JACK ZOLDAN, MD LTD

Practice address

5015 N Paulina St
Suite 315
Chicago, IL 60640-2756

Phone

(773) 561-6573

Fax

(773) 561-8323

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack S. Zoldan, M.D.

Title

Pres

Phone

(773) 561-6573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609090661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST",
            "address_2": "SUITE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-561-6573",
            "fax_number": "773-561-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST",
            "address_2": "SUITE 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-561-6573",
            "fax_number": "773-561-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK ZOLDAN, MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOLDAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "773-561-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Jacks, MD
• Jackson Cila Care Inc
• Jackson Corp

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.