Provider Demographics
NPI:1205192945
Name:SHETH, ZAINAB ROSHANI
Entity Type:Individual
Prefix:
First Name:ZAINAB
Middle Name:ROSHANI
Last Name:SHETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 NORWICH DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-1375
Mailing Address - Country:US
Mailing Address - Phone:630-497-8134
Mailing Address - Fax:
Practice Address - Street 1:2064 NORWICH DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-1375
Practice Address - Country:US
Practice Address - Phone:630-497-8134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist