Provider Demographics
NPI:1659504306
Name:SHEEDY, ZACHARY L (DC)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:L
Last Name:SHEEDY
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 1:920 W PRAIRIE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3123
Mailing Address - Country:US
Mailing Address - Phone:815-895-3354
Mailing Address - Fax:815-895-3345
Practice Address - Street 1:920 W PRAIRIE DR
Practice Address - Street 2:SUITE J
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3123
Practice Address - Country:US
Practice Address - Phone:815-895-3354
Practice Address - Fax:815-895-3345
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor