Healthcare Provider Details

I. General information

NPI: 1740190172
Provider Name (Legal Business Name): ZYNERA FAMILY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N NAPER BLVD STE 108
NAPERVILLE IL
60563-8837
US

IV. Provider business mailing address

1717 N NAPER BLVD STE 108
NAPERVILLE IL
60563-8837
US

V. Phone/Fax

Practice location:
  • Phone: 708-940-9842
  • Fax:
Mailing address:
  • Phone: 708-940-9842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ADENIKE BALOGUN
Title or Position: MANAGING MEMBER
Credential: APRN
Phone: 708-940-9842