NPI 1083614432

Clark A. Zeddies, MD

Practitioner Family Medicine Physician South Elgin, IL

Practice location

Address: 455 Briargate Dr STE 100, South Elgin, IL 60177-2225
Phone: (847) 622-0506
Fax: (847) 622-0507
Mailing address: PO Box 713260, Chicago, IL 60677-1260

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036077324 (IL)

Other Family Medicine providers in Illinois →

Registry record

NPI: 1083614432
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2005
Record last updated: 11 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.