Provider Demographics
NPI:1588840516
Name:ZINGER MEDICAL OFFICES SC
Entity Type:Organization
Organization Name:ZINGER MEDICAL OFFICES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-412-6123
Mailing Address - Street 1:2800 N LAKE SHORE DR
Mailing Address - Street 2:STE 3609
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6232
Mailing Address - Country:US
Mailing Address - Phone:773-412-6123
Mailing Address - Fax:
Practice Address - Street 1:4656 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1656
Practice Address - Country:US
Practice Address - Phone:773-412-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL001626962OtherBCBS
IL36103202Medicaid
IL213417Medicare PIN
IL001626962OtherBCBS