Provider Demographics
NPI:1568832103
Name:ZAJAC, FELIX
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:ZAJAC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-4452
Mailing Address - Country:US
Mailing Address - Phone:708-202-2086
Mailing Address - Fax:708-202-7960
Practice Address - Street 1:5000 S 5TH AVE
Practice Address - Street 2:BUILDING 128
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-3030
Practice Address - Country:US
Practice Address - Phone:708-202-2086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker