Healthcare Provider Details
I. General information
NPI: 1881867653
Provider Name (Legal Business Name): INTERNATIONAL INSTITUTE OF HEALTH LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2008
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2409 W NORTH AVE
CHICAGO IL
60647-5316
US
IV. Provider business mailing address
2409 W NORTH AVE
CHICAGO IL
60647-5316
US
V. Phone/Fax
- Phone: 773-489-0001
- Fax: 773-489-0003
- Phone: 773-489-0001
- Fax: 773-489-0003
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TONY
ZEMLINSKY
Title or Position: CHIROPRACTOR
Credential: D.C
Phone: 177-348-9001