Provider Demographics
NPI:1760516199
Name:ZANELLI, PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:ZANELLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 STEVENS ST
Mailing Address - Street 2:STE B
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-1318
Mailing Address - Country:US
Mailing Address - Phone:630-208-1110
Mailing Address - Fax:630-208-1109
Practice Address - Street 1:21 N 2ND ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2224
Practice Address - Country:US
Practice Address - Phone:630-208-1110
Practice Address - Fax:630-208-1109
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007323111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor