Zaksoek, Wyatt L

Zaksoek, Wyatt L is an individual health care provider with primary practice located at 325 Illinois Rt 2 , Dixon IL 61021-9118. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Zaksoek, Wyatt L can be contacted via phone (815) 284-6611.

Contact Information

Primary practice address
325 Illinois Rt 2 Dixon IL 61021-9118
Phone: (815) 284-6611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1538731815
LBN Legal business name Zaksoek, Wyatt L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Jul 15th, 2021 - about 4 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.

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