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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497896120 NPPES
Illinois Other 710957905 FEIN
Illinois Other 04932271 FEIN

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