Provider Demographics
NPI:1922019082
Name:ZAK, RAMONA (MD)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:ZAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8307 W LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-3129
Mailing Address - Country:US
Mailing Address - Phone:708-453-0951
Mailing Address - Fax:708-453-0973
Practice Address - Street 1:8307 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3129
Practice Address - Country:US
Practice Address - Phone:708-453-0951
Practice Address - Fax:708-453-0973
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-114557207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL336-077124OtherCONTROLLED SUBSTANCE
IL036-114557OtherSTATE OF IL MEDICAL LIC
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