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NPI 1770036444

NPI 1770036444 : ZAYAN MEDICAL CORPORATION : NORTHBROOK, IL

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General NPI Number Information
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    NPI Number           |    1770036444
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZAYAN MEDICAL CORPORATION 
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Dates
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    Enumeration Date     |    07/29/2016
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    Last Update Date     |    06/17/2025
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Provider Practice Location Address
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    Address Line         |    3605 WOODHEAD DR STE 111 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-1850
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    Country              |    US
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    Telephone            |    800-564-5270
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    Fax                  |    877-432-7816
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Provider Business Mailing Address
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    Address Line         |    3605 WOODHEAD DR STE 111 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-1850
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    Country              |    US
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    Telephone            |    800-564-5270
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    Fax                  |    877-432-7816
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Authorized Official
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    Title or Position    |    OWNER/MEDICAL DIRECTOR
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    Name                 |    DR. MAYER  ZAYAN 
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    Credential           |    M.D.
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    Telephone            |    847-343-6140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    036060803
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    License Number State |    IL
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