Provider Demographics
NPI:1386612562
Name:ZRELAK, JOHN R (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:ZRELAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 N ORLEANS ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-4493
Mailing Address - Country:US
Mailing Address - Phone:312-832-9700
Mailing Address - Fax:312-832-9702
Practice Address - Street 1:414 N ORLEANS ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-4421
Practice Address - Country:US
Practice Address - Phone:312-832-9700
Practice Address - Fax:312-832-9702
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL384400OtherMEDICARE GROUP
ILP00095819OtherRR MEDICARE
ILK46853Medicare PIN
IL384400OtherMEDICARE GROUP