Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 036079484 | IL |
NPI | 1013001924 |
---|---|
Provider Name | Dr. George Zahrebelski |
First Address | Hoffman Estates, IL 60195-7405 |
Second Address | Hoffman Estates, IL 60169-1083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036079484 | (05) | IL |
E57594 | (02) | IL |