| Zenith Healthcare Llc | |
|
704 Beech Ln New Lenox IL 60451-3328 | |
| (708) 307-3166 | |
| Not Available |
| Full Name | Zenith Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 704 Beech Ln, New Lenox, Illinois |
| Authorized Official Name and Position | Michael Lee (MANAGER) |
| Authorized Official Contact | 7867917529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenith Healthcare Llc 704 Beech Ln New Lenox IL 60451-3328 Ph: (786) 791-7529 | Zenith Healthcare Llc 704 Beech Ln New Lenox IL 60451-3328 Ph: (708) 307-3166 |
| NPI Number | 1114754389 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 9537697107 |
|---|---|
| Medicare Enrollment ID | O20250109002613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114754389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Augustine A Atem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265135636 PECOS PAC ID: 6800240367 Enrollment ID: I20231002003529 |
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