Healthcare Provider Details
I. General information
NPI: 1215529185
Provider Name (Legal Business Name): ZIGMA MEDICAL STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/10/2021
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
660 N HICKS RD
PALATINE IL
60067-3648
US
IV. Provider business mailing address
660 N HICKS RD
PALATINE IL
60067-3648
US
V. Phone/Fax
- Phone: 847-496-5119
- Fax: 847-241-0032
- Phone: 847-496-5119
- Fax: 847-241-0032
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | NULL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | |
| License Number State | NULL |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
VALENTINE
U
AKPATA
Title or Position: DIRECTOR
Credential: MHA
Phone: 847-496-4715