Provider Demographics
NPI:1942407994
Name:ZAKER, JOSEPH (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ZAKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9602 S ROBERTS RD
Mailing Address - Street 2:STE. 6
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2238
Mailing Address - Country:US
Mailing Address - Phone:708-237-2020
Mailing Address - Fax:708-237-2210
Practice Address - Street 1:9602 S ROBERTS RD
Practice Address - Street 2:STE. 6
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2238
Practice Address - Country:US
Practice Address - Phone:708-237-2020
Practice Address - Fax:708-237-2210
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046.009992152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist