Provider Demographics
NPI:1790189868
Name:ZOE ENTERPRISE, INC
Entity Type:Organization
Organization Name:ZOE ENTERPRISE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDRIKOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-656-8545
Mailing Address - Street 1:PO BOX 72180
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:IL
Mailing Address - Zip Code:60172-0180
Mailing Address - Country:US
Mailing Address - Phone:630-924-0156
Mailing Address - Fax:630-924-0462
Practice Address - Street 1:100 E IRVING PARK RD
Practice Address - Street 2:STE #200
Practice Address - City:ROSELLE
Practice Address - State:IL
Practice Address - Zip Code:60172-2048
Practice Address - Country:US
Practice Address - Phone:630-439-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty