Zenner, Timothy James
Zenner, Timothy James is an individual health care provider with primary practice located at 6027 N Kenmore Ave , Chicago IL 60660-2953. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Zenner, Timothy James can be contacted via phone (773) 506-7507.Contact Information
Primary practice address
6027 N Kenmore Ave
Chicago IL 60660-2953
Phone: (773) 506-7507
Fax: (773) 506-8275
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 17602 | Illinois |
Profile Details
NPI number | 1659597482 |
---|---|
LBN Legal business name | Zenner, Timothy James |
Credentials | C.A.D.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2007 |
Last updated | Jul 9th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659597482 | NPPES |
Illinois | MEDICAID | 101YA0400X |
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