Shade Zeldow, Yvonne
Shade Zeldow, Yvonne is an sole proprietor health care provider with primary practice located at 4501 N Winchester Ave 2Nd Fl, Chicago IL 60640. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shade Zeldow, Yvonne can be contacted via phone (773) 250-0500.Contact Information
Primary practice address
4501 N Winchester Ave 2Nd Fl
Chicago IL 60640
Phone: (773) 250-0500
Fax: (773) 250-0497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071002598 | Illinois |
Profile Details
| NPI number | 1881660611 |
|---|---|
| LBN Legal business name | Shade Zeldow, Yvonne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Oct 28th, 2008 - about 16 years ago |
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 | 1881660611 | NPPES |
| Illinois | MEDICAID | 071002598 |
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