ZISANSHA ZAHIRSHA

MAYWOOD, IL
NPI1144859372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  125.075813)
Enumeration Date2020-04-08
Last Update Date2021-05-12
Business Address
ZISANSHA ZAHIRSHA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-4533
Mailing Address
ZISANSHA ZAHIRSHA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: