Provider Demographics
NPI:1710294772
Name:ZUMSTEIN, JOSH MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:MICHAEL
Last Name:ZUMSTEIN
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 1:18141 DIXIE HWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2238
Mailing Address - Country:US
Mailing Address - Phone:708-365-6353
Mailing Address - Fax:708-365-6563
Practice Address - Street 1:18141 DIXIE HWY
Practice Address - Street 2:SUITE 107
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2238
Practice Address - Country:US
Practice Address - Phone:708-365-6353
Practice Address - Fax:708-365-6563
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor