Vivar, Zenaida L

Vivar, Zenaida L is an sole proprietor health care provider with primary practice located at 7808 W College Dr. Ste 2W, Palos Heights IL 60463. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Vivar, Zenaida L can be contacted via phone (708) 361-5110.

Contact Information

Primary practice address
7808 W College Dr. Ste 2W Palos Heights IL 60463
Phone: (708) 361-5110
Fax: (708) 361-5305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Specialist 174400000X 036-057980 Illinois

Profile Details

NPI number 1487780516
LBN Legal business name Vivar, Zenaida L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2007
Last updated Sep 29th, 2022 - about 2 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 1487780516 NPPES
Illinois MEDICAID K13222

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