Provider Demographics
NPI:1013236694
Name:ZEMAITIS, PATRICIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:ZEMAITIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510 ADELINE PL
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-3214
Mailing Address - Country:US
Mailing Address - Phone:708-687-9012
Mailing Address - Fax:
Practice Address - Street 1:77 W WASHINGTON ST STE 1704
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3187
Practice Address - Country:US
Practice Address - Phone:312-852-1021
Practice Address - Fax:844-237-9660
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011697111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor