Provider Demographics
NPI:1356321079
Name:ZOBOSKI, ROBERT J (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:ZOBOSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7355 ARCHER AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:SUMMIT
Mailing Address - State:IL
Mailing Address - Zip Code:60501-1225
Mailing Address - Country:US
Mailing Address - Phone:708-458-7700
Mailing Address - Fax:
Practice Address - Street 1:7355 ARCHER AVE
Practice Address - Street 2:UNIT C
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1225
Practice Address - Country:US
Practice Address - Phone:708-458-7700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL28095Medicare UPIN
IL965900Medicare ID - Type Unspecified