Healthcare Provider Details

I. General information

NPI: 1952266959
Provider Name (Legal Business Name): ZEN HEALTH IN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6685 E 117TH AVE
CROWN POINT IN
46307-7808
US

IV. Provider business mailing address

6685 E 117TH AVE
CROWN POINT IN
46307-7808
US

V. Phone/Fax

Practice location:
  • Phone: 773-349-6385
  • Fax:
Mailing address:
  • Phone: 773-349-6385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM N SIEGAL
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 773-349-6385