Provider Demographics
NPI:1578719381
Name:KORDIK, ZACHARY ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ANDREW
Last Name:KORDIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2913 N COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6211
Mailing Address - Country:US
Mailing Address - Phone:847-493-3521
Mailing Address - Fax:847-493-3531
Practice Address - Street 1:2913 N COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6211
Practice Address - Country:US
Practice Address - Phone:847-493-3521
Practice Address - Fax:847-493-3531
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250533652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry