SearchIllinois101YP2500X

Javier Zepeda

NPI 1447636949 · on the registry since 2015

Practice

Address
330 Grove St
Dekalb, IL 60115
Phone
(815) 748-2010
Fax
(815) 748-2019
Organisation at this address
Dekalb County Youth Services Bureau
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois