MEDICARE: ZOELIFE HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	2084P0800X	Psychiatry Physician
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
4	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1164021952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOELIFE HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	10209 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1279
Country	:	US
Telephone Number	:	708-998-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	10209 W LINCOLN HWY
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-1279
Country	:	US
Telephone Number	:	708-998-2979
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	CHIME AJIERE
Credential	:	NURSE PRACTITIONER
Telephone Number	:	708-998-2979

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	03/04/2026

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Directions to “ZOELIFE HEALTHCARE SERVICES INC ” Practice Location

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