ZETA VISITING PHYSICIAN LLC NPI 1043042484

NPI Information

  • NPI: 1043042484
  • Provider Name: ZETA VISITING PHYSICIAN LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2405 BIG WOODS DR
    BATAVIA, IL
    ZIP 60510
  • Phone: (847) 508-9999

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NPI Details

ZETA VISITING PHYSICIAN LLC is a general practice in Batavia, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ZETA VISITING PHYSICIAN LLC NPI is 1043042484. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2405 BIG WOODS DR
BATAVIA, IL
ZIP 60510-650
Phone: (847) 508-9999
Fax: (224) 526-5167

The provider's authorized official is Carlo Domingo .
The authorized official title is Managing Partner and has the following contact phone number (567) 224-0949.

The enumeration date for this NPI number is 8/15/2024 and was last updated on 8/15/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 3/30/2025

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