Healthcare Provider Details

I. General information

NPI: 1457936221
Provider Name (Legal Business Name): ZINADUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2021
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 ORRINGTON AVE STE 600 ROOM 608
EVANSTON IL
60201-3860
US

IV. Provider business mailing address

1339 W LUNT AVE APT G5
CHICAGO IL
60626-3061
US

V. Phone/Fax

Practice location:
  • Phone: 847-563-2343
  • Fax:
Mailing address:
  • Phone: 773-297-4697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BLESSING J. WIWA
Title or Position: OWNER
Credential: MD
Phone: 847-563-2343