Provider Demographics
NPI:1891769311
Name:ZEIGER, DAVID J (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:ZEIGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1020 MILWAUKEE AVE STE 153
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3580
Mailing Address - Country:US
Mailing Address - Phone:312-255-9444
Mailing Address - Fax:312-255-9446
Practice Address - Street 1:1020 MILWAUKEE AVE STE 153
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-3580
Practice Address - Country:US
Practice Address - Phone:312-255-9444
Practice Address - Fax:312-255-9446
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336-042392207Q00000X
IL036079383207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01625822OtherBLUE CROSS/BLUE SHEILD
IL960540Medicare ID - Type Unspecified
ILE30899Medicare UPIN