Provider Demographics
NPI:1548276215
Name:MOR, ZOHAR SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:ZOHAR
Middle Name:SCOTT
Last Name:MOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 BARNARD MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IL
Mailing Address - Zip Code:60071-9312
Mailing Address - Country:US
Mailing Address - Phone:815-648-2052
Mailing Address - Fax:
Practice Address - Street 1:8308 BARNARD MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IL
Practice Address - Zip Code:60071-9312
Practice Address - Country:US
Practice Address - Phone:815-648-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL207459Medicare ID - Type Unspecified