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NPI Code Detail

MEDICARE: YUZHEN ZENG PMHNP-BC

MEDICARE: YUZHEN ZENG PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209011630IL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner209.011630IL

General Provider Information

NPI Number : 1114334695
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUZHEN ZENG PMHNP-BC
Provider Business Mailing Address
First Line : 4711 GOLF RD
Second Line : 1250
City : SKOKIE
State : IL
Zip : 60076-1224
Country : US
Telephone Number : 847-235-6130
Fax Number : 847-235-6135
Provider Business Practice Location Address
First Line : 901 S AUSTIN BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60644-5311
Country : US
Telephone Number : 847-675-7979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2014
Last Update Date : 02/20/2020

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Directions to “ YUZHEN ZENG PMHNP-BC” Practice Location

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