Zeta Visiting Physician LLC

NPI #1043042484 in Batavia, Illinois

Provider Information

NPI Number: 1043042484
Entity Type: Organization
Organization Name: Zeta Visiting Physician LLC
Primary Specialty: General Practice
Enumeration Date: Aug 15, 2024
Last Updated: Aug 15, 2024

Practice Location

Address: 2405 BIG WOODS DR
City: Batavia
State: Illinois
ZIP Code: 60510-7650
Phone: (847) 508-9999

Authorized Official

Name: CARLO DOMINGO, NP
Title: MANAGING PARTNER
Phone: (567) 224-0949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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