Provider Demographics
NPI:1649406570
Name:NCH SERVICE COMPANY LLC
Entity Type:Organization
Organization Name:NCH SERVICE COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-618-1000
Mailing Address - Street 1:880 W CENTRAL RD
Mailing Address - Street 2:SUITE 4400
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2355
Mailing Address - Country:US
Mailing Address - Phone:847-483-9400
Mailing Address - Fax:847-483-9426
Practice Address - Street 1:880 W CENTRAL RD
Practice Address - Street 2:SUITE 4400
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2355
Practice Address - Country:US
Practice Address - Phone:847-483-9400
Practice Address - Fax:847-483-9426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036088209208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty