Zaibak, Zack O
Zaibak, Zack O is an individual health care provider with primary practice located at 6828 W 171St St , Tinley Pk IL 60477. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Zaibak, Zack O can be contacted via phone (708) 802-9600.Contact Information
Primary practice address
6828 W 171St St
Tinley Pk IL 60477
Phone: (708) 802-9600
Fax: (708) 802-9826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1316061567 |
|---|---|
| LBN Legal business name | Zaibak, Zack O |
| Credentials | MS DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316061567 | NPPES |
| Illinois | MEDICAID | 9181243 |
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