Healthcare Provider Details

I. General information

NPI: 1437070414
Provider Name (Legal Business Name): ZIVALO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39324 N MELBOURNE CT
BEACH PARK IL
60083-3026
US

IV. Provider business mailing address

39324 N MELBOURNE CT
BEACH PARK IL
60083-3026
US

V. Phone/Fax

Practice location:
  • Phone: 945-403-2756
  • Fax: 945-403-2756
Mailing address:
  • Phone: 945-403-2756
  • Fax: 945-403-2756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AMMAD QAZI
Title or Position: PRESIDENT
Credential:
Phone: 945-403-2756