Provider Demographics
NPI:1245671676
Name:HASE ZAHN INC.
Entity type:Organization
Organization Name:HASE ZAHN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAREKET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-571-0167
Mailing Address - Street 1:904 DORSET DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-3002
Mailing Address - Country:US
Mailing Address - Phone:847-571-0167
Mailing Address - Fax:
Practice Address - Street 1:4830 N PULASKI RD STE 108
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2847
Practice Address - Country:US
Practice Address - Phone:773-283-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027316122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty