Provider Demographics
NPI:1821863390
Name:MOULEKAF, ZINEB
Entity Type:Individual
Prefix:
First Name:ZINEB
Middle Name:
Last Name:MOULEKAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 W ADDISON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-5698
Mailing Address - Country:US
Mailing Address - Phone:312-599-0537
Mailing Address - Fax:
Practice Address - Street 1:4830 N PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2844
Practice Address - Country:US
Practice Address - Phone:630-290-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician