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1134482318
ZACHARY DAVID MICHALICEK
EVANSTON, IL
NPI
1134482318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 125061507)
Enumeration Date
2012-06-21
Last Update Date
2012-06-21
Business Address
Dr. ZACHARY DAVID MICHALICEK D.O.
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2779
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Mailing Address
Dr. ZACHARY DAVID MICHALICEK D.O.
7625 N EASTLAKE TER APT 106
CHICAGO, IL 60626-1469
Phone number: 515-770-6288
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