Zayan Medical Corporation | |
3605 Woodhead Dr Ste 111 Northbrook IL 60062-1850 | |
(800) 564-5270 | |
(877) 432-7816 |
Full Name | Zayan Medical Corporation |
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Speciality | Clinic/Center |
Location | 3605 Woodhead Dr Ste 111, Northbrook, Illinois |
Authorized Official Name and Position | Mayer Zayan (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 8473436140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Zayan Medical Corporation 3605 Woodhead Dr Ste 111 Northbrook IL 60062-1850 Ph: (800) 564-5270 | Zayan Medical Corporation 3605 Woodhead Dr Ste 111 Northbrook IL 60062-1850 Ph: (800) 564-5270 |
NPI Number | 1770036444 |
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Provider Enumeration Date | 07/29/2016 |
Last Update Date | 09/09/2022 |
Medicare PECOS PAC ID | 4789971839 |
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Medicare Enrollment ID | O20160919000194 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770036444 | NPI | - | NPPES |
1770036444 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036060803 (Illinois) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Mayer Zayan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619064151 PECOS PAC ID: 7315843166 Enrollment ID: I20031211000463 |
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