Provider Demographics
NPI:1619596624
Name:GZ SERVICE INC
Entity Type:Organization
Organization Name:GZ SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRIGORIY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELICHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-749-5598
Mailing Address - Street 1:576 JENNIFER CIR
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-4110
Mailing Address - Country:US
Mailing Address - Phone:847-293-6903
Mailing Address - Fax:
Practice Address - Street 1:576 JENNIFER CIR
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4110
Practice Address - Country:US
Practice Address - Phone:847-293-6903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies