Provider Demographics
NPI:1457898694
Name:ZOTTI, JAMES CHRISTIAN (LAC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CHRISTIAN
Last Name:ZOTTI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:512 W BURLINGTON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2221
Mailing Address - Country:US
Mailing Address - Phone:708-469-7592
Mailing Address - Fax:708-469-7897
Practice Address - Street 1:512 W BURLINGTON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2221
Practice Address - Country:US
Practice Address - Phone:708-469-7592
Practice Address - Fax:708-469-7897
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001357171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist