ZACHARY NICHOLAS ILLG

ATLANTA, GA
NPI1073017232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  88589)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  5151013211)
207P00000X Emergency Medicine
(Licence: MI  5101023831)
Enumeration Date2018-03-22
Last Update Date2022-04-21
Business Address
ZACHARY NICHOLAS ILLG
303 PARKWAY DR NE
ATLANTA, GA 30312-1212
Phone number: 404-265-4000
Mailing Address
ZACHARY NICHOLAS ILLG
2110 47TH ST
DES MOINES, IA 50310-3045
Phone number: 515-883-0464