Healthcare Provider Details

I. General information

NPI: 1932064615
Provider Name (Legal Business Name): ZEN SHIATSU CHICAGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 LAKE ST
EVANSTON IL
60201-4317
US

IV. Provider business mailing address

818 LAKE ST
EVANSTON IL
60201-4317
US

V. Phone/Fax

Practice location:
  • Phone: 847-864-1130
  • Fax:
Mailing address:
  • Phone: 847-864-1130
  • Fax: 847-859-9058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEVE ROGNE
Title or Position: PRESIDENT
Credential:
Phone: 847-864-1130