Provider Demographics
NPI:1962525014
Name:ZUREK, JOHN WALTER (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WALTER
Last Name:ZUREK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-2764
Mailing Address - Country:US
Mailing Address - Phone:630-355-5017
Mailing Address - Fax:630-355-5521
Practice Address - Street 1:1001 N WASHINGTON
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2764
Practice Address - Country:US
Practice Address - Phone:630-355-5017
Practice Address - Fax:630-355-5521
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist