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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881660611 NPPES
Illinois MEDICAID 071002598

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