Healthcare Provider Details

I. General information

NPI: 1477013670
Provider Name (Legal Business Name): MEDBOT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

856 W NELSON ST APT 1006
CHICAGO IL
60657-5103
US

IV. Provider business mailing address

856 W NELSON ST APT 1006
CHICAGO IL
60657-5103
US

V. Phone/Fax

Practice location:
  • Phone: 213-200-6658
  • Fax:
Mailing address:
  • Phone: 213-200-6658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD NAQEEB ZUBAIR
Title or Position: CEO
Credential:
Phone: 213-200-6658