Provider Demographics
NPI:1346301611
Name:W. PATRICK ZELLER MD LTD
Entity Type:Organization
Organization Name:W. PATRICK ZELLER MD LTD
Other - Org Name:ACADEMIC ENDOCRINOLOGY METABOLISM & NUTRITION INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:ZELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-416-4501
Mailing Address - Street 1:2001 GARY AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-416-4501
Mailing Address - Fax:630-416-4504
Practice Address - Street 1:2001 GARY AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-416-4501
Practice Address - Fax:630-416-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042-617401261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty