Provider Demographics
NPI:1730218892
Name:ZAJAC, ANN (DC LCAC DIPLAC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:ZAJAC
Suffix:
Gender:F
Credentials:DC LCAC DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17314 S OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-3404
Mailing Address - Country:US
Mailing Address - Phone:708-614-1400
Mailing Address - Fax:708-614-1426
Practice Address - Street 1:17314 S OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-3404
Practice Address - Country:US
Practice Address - Phone:708-614-1400
Practice Address - Fax:708-614-1426
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001617968OtherBLUE CROSS BLUE SHIELD
IL0001617968OtherBLUE CROSS BLUE SHIELD
T396006Medicare UPIN