Healthcare Provider Details
I. General information
NPI: 1720726375
Provider Name (Legal Business Name): ZYLFI MEMEDOVSKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/24/2022
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
135 N OAK ST
HINSDALE IL
60521-3860
US
IV. Provider business mailing address
135 N OAK ST
HINSDALE IL
60521-3860
US
V. Phone/Fax
- Phone: 630-856-8900
- Fax: 630-856-8933
- Phone: 630-856-8900
- Fax: 630-856-8933
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 036176761 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: