Provider Demographics
NPI:1861467755
Name:ZAK, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:ZAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10275 LITTLE PATUXENT PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3445
Mailing Address - Country:US
Mailing Address - Phone:888-464-2466
Mailing Address - Fax:
Practice Address - Street 1:1403 KINGSPORT CT
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5100
Practice Address - Country:US
Practice Address - Phone:847-564-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2024-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0360701652084N0400X
AZ145522084N0400X
CAG889902084N0400X
DCMD338342084N0400X
VA1012527592084N0400X
FLME1103762084N0400X
GA688122084N0400X
IA403442084N0400X
IN01059853A2084N0400X
KS04-352022084N0400X
MEMD194642084N0400X
MDD00581792084N0400X
MI43010997032084N0400X
MN15472084N0400X
MO20110280982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0360701653Medicaid
IL0360701653Medicaid