Healthcare Provider Details

I. General information

NPI: 1427604768
Provider Name (Legal Business Name): SINGELI ZAPARANIUK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N MICHIGAN AVE STE 424
CHICAGO IL
60602-3844
US

IV. Provider business mailing address

3112 W FULLERTON AVE APT 1
CHICAGO IL
60647-8029
US

V. Phone/Fax

Practice location:
  • Phone: 312-279-9981
  • Fax: 312-279-9981
Mailing address:
  • Phone: 224-409-5760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227.020981
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227020981
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: