Nicholas J Zoretic
Family Doctor
245 S Gary Ave Suite 100
Bloomingdale
, Illinois 60108-2200
Nicholas J Zoretic
Family Doctor
245 S Gary Ave Suite 100
Bloomingdale
, Illinois 60108-2200
(630) 924-9671
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Nicholas J Zoretic
- 245 S Gary Ave Suite 100
- Bloomingdale, IL
- Zip : 60108-2200
- Fax : (630) 924-9671
- Phone : (630) 924-4009
Second Address
- Nicholas J Zoretic
- 245 S Gary Ave Suite 100
- Bloomingdale, IL
- Zip : 60108-2200
- Fax : (630) 924-9671
- Phone : (630) 924-4009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036107388 | IL |
National Provider Identifier
| NPI | 1003820820 |
|---|---|
| Provider Name | Nicholas J Zoretic |
| First Address | Bloomingdale, IL 60108-2200 |
| Second Address | Bloomingdale, IL 60108-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 14/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0222075 | BLUE CROSS GROUP NUMBER (01) | IL |
| 036107388 | (05) | IL |
| 363149833 | TAX IDENTIFICATION NUMBER (01) | IL |
| 3631498336019001 | CDPG HFS PAYEE ID (01) | IL |
| H70510 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.