Provider Demographics
NPI:1457936221
Name:ZINADUM LLC
Entity Type:Organization
Organization Name:ZINADUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:J
Authorized Official - Last Name:WIWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-563-2343
Mailing Address - Street 1:1339 W LUNT AVE APT G5
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-3061
Mailing Address - Country:US
Mailing Address - Phone:773-297-4697
Mailing Address - Fax:
Practice Address - Street 1:1603 ORRINGTON AVE STE 600
Practice Address - Street 2:ROOM 608
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3860
Practice Address - Country:US
Practice Address - Phone:847-563-2343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-13
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care