Healthcare Provider Details

I. General information

NPI: 1689982662
Provider Name (Legal Business Name): ZYLVIA RAMOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 N NELTNOR BLVD APT A1D
WEST CHICAGO IL
60185-2326
US

IV. Provider business mailing address

247 N NELTNOR BLVD APT A1D
WEST CHICAGO IL
60185-2326
US

V. Phone/Fax

Practice location:
  • Phone: 630-520-0099
  • Fax: 630-520-0099
Mailing address:
  • Phone: 630-520-0099
  • Fax: 630-520-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. ZYLVIA RAMOS
Title or Position: INTERPRETER
Credential:
Phone: 630-520-0099