| Zozzaro Group Llc | |
|
1713 Fort Jesse Rd Ste D, Normal, IL 61761-6235 | |
| (309) 862-2225 | |
| Not Available |
| Full Name | Zozzaro Group Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1713 Fort Jesse Rd Ste D, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568623114 | NPI | - | NPPES |
| 1275581993 | Other | IL | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038008222 (Illinois) | Primary |
| Provider Name | John Zozzaro |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275581993 PECOS PAC ID: 8820066400 Enrollment ID: I20040921001126 |
| Provider Name | Kaleb Joe Wilson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336817097 PECOS PAC ID: 2769870070 Enrollment ID: I20211019001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Zozzaro Group Llc 1713 Fort Jesse Road Ste D, Normal, IL 61761 Ph: (309) 862-2225 | Zozzaro Group Llc 1713 Fort Jesse Rd Ste D, Normal, IL 61761-6235 Ph: (309) 862-2225 |
Ms. Kendra Shana' Stewart, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 214 S Linden St, Normal, IL 61761 Phone: 309-454-8622 | |
Ryan Joseph Mclaughlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 211 Landmark, Suite A2, Normal, IL 61761 Phone: 309-454-2500 Fax: 309-454-2565 | |
Dr. Stephen J Troyanovich, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 322 Susan Dr, Ste B, Normal, IL 61761 Phone: 309-454-5556 Fax: 309-454-5669 | |
Morgan Riley, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 1713 Fort Jesse Rd Ste D, Normal, IL 61761 Phone: 309-862-2225 Fax: 309-862-2229 | |
Dr. Jeffrey Lee Dickhut, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1603 Visa Dr, Suite 3, Normal, IL 61761 Phone: 309-268-9000 Fax: 309-268-9003 | |
Mr. John L. Zozzaro Jr., D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1713 Fort Jesse Rd, Suite D, Normal, IL 61761 Phone: 309-862-2225 Fax: 309-862-2229 | |
Dr. Jay M Bersche, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1603 Visa Dr, Normal, IL 61761 Phone: 309-269-9000 Fax: 309-268-9003 |