Provider Demographics
NPI:1942591797
Name:ZAMBRANO, DANIEL
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ZAMBRANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 W PERSHING RD
Mailing Address - Street 2:#217
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-2220
Mailing Address - Country:US
Mailing Address - Phone:773-981-8027
Mailing Address - Fax:
Practice Address - Street 1:2323 W PERSHING RD
Practice Address - Street 2:#217
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-2220
Practice Address - Country:US
Practice Address - Phone:773-981-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter