Basic Information
| Provider Information | |||||||||
| NPI: | 1528452422 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZERILLI | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 640 N WELLS ST APT 1214 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606543964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6164604805 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10137 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601312548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474517590 | ||||||||
| FaxNumber: | 8474517608 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2015 | ||||||||
| LastUpdateDate: | 10/09/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036146979 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.