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ZEN PHYSICAL MEDICINE LTD NPI 1467533497


NPI Information

NPI: 1467533497
Provider Name: ZEN PHYSICAL MEDICINE LTD
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5301 E STATE ST
SUITE112
ROCKFORD, IL
ZIP 61108
Phone: (815) 395-8676
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ZEN PHYSICAL MEDICINE LTD is a chiropractor in Rockford, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ZEN PHYSICAL MEDICINE LTD NPI is 1467533497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5301 E STATE ST
SUITE112
ROCKFORD, IL
ZIP 61108-388
Phone: (815) 395-8676
Fax: (815) 395-1751

The provider's authorized official is Christine Marian .
The authorized official title is President and has the following contact phone number (815) 395-8676.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 4/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038009452ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1038-009452OTHERILLINOISCHIROPRACTIC LICENSE #
21023095155OTHERILLINOISINDIVIDUAL NPI #
3938100MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL MEDICARE #
4U86743MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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