Provider Demographics
NPI:1114412970
Name:ZBARSKY, DMITRI (MD)
Entity Type:Individual
Prefix:
First Name:DMITRI
Middle Name:
Last Name:ZBARSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SOUTH FAIRFIELD AVE.
Mailing Address - Street 2:F-914
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608
Mailing Address - Country:US
Mailing Address - Phone:773-257-5914
Mailing Address - Fax:773-257-6027
Practice Address - Street 1:1500 SOUTH FAIRFIELD AVE.
Practice Address - Street 2:F-914
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608
Practice Address - Country:US
Practice Address - Phone:773-257-5914
Practice Address - Fax:773-257-6027
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.076285207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine