Medina, Zaida
Medina, Zaida is an sole proprietor health care provider with primary practice located at 300 Center Dr Ste 103 , Vernon Hills IL 60061-1525. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medina, Zaida can be contacted via phone (224) 381-2824.Contact Information
Primary practice address
300 Center Dr Ste 103
Vernon Hills IL 60061-1525
Phone: (224) 381-2824
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180006654 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178003554 | Illinois |
Profile Details
NPI number | 1497896120 |
---|---|
LBN Legal business name | Medina, Zaida |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 8th, 2007 |
Last updated | Apr 18th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497896120 | NPPES |
Illinois | Other | 710957905 | FEIN |
Illinois | Other | 04932271 | FEIN |
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