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NPI Code Detail

MEDICARE: ZIKAINIM INC

MEDICARE: ZIKAINIM INC
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
1314000000XSkilled Nursing Facility0026294IL

General Provider Information

NPI Number : 1629064290
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZIKAINIM INC
Provider Business Mailing Address
First Line : 3737 W ARTHUR AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-4029
Country : US
Telephone Number : 847-679-2121
Fax Number : 847-679-2121
Provider Business Practice Location Address
First Line : 5448 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1704
Country : US
Telephone Number : 773-334-2224
Fax Number : 773-334-0360
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. HOWARD L. WENGROW
Credential :
Telephone Number : 847-679-2121
Provider Enumeration Date : 09/20/2005
Last Update Date : 06/04/2015

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Directions to “ZIKAINIM INC ” Practice Location

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