Provider Demographics
NPI:1437505799
Name:ZJ MEDICAL INC.
Entity Type:Organization
Organization Name:ZJ MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARAGOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-262-8374
Mailing Address - Street 1:1559 N MANNHEIM RD
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:STONE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60165-1301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1559 N MANNHEIM RD
Practice Address - Street 2:UNIT 2B AND 2C
Practice Address - City:STONE PARK
Practice Address - State:IL
Practice Address - Zip Code:60165-1301
Practice Address - Country:US
Practice Address - Phone:773-735-1590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011436261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service