MEDICARE: ARIEL ZIEMBA

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
1	106S00000X	Behavior Technician	21196238	IL

General Provider Information

NPI Number	:	1609730175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL ZIEMBA

Provider Business Mailing Address
First Line	:	7807 S DOBSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60619-3203
Country	:	US
Telephone Number	:	708-427-6381
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 S BLUE ISLAND AVE STE 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-2238
Country	:	US
Telephone Number	:	312-584-0559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ ARIEL ZIEMBA ” Practice Location

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