Zenner, Timothy James

Zenner, Timothy James is an individual health care provider with primary practice located at 6027 N Kenmore Ave , Chicago IL 60660-2953. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Zenner, Timothy James can be contacted via phone (773) 506-7507.

Contact Information

Primary practice address
6027 N Kenmore Ave Chicago IL 60660-2953
Phone: (773) 506-7507
Fax: (773) 506-8275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17602 Illinois

Profile Details

NPI number 1659597482
LBN Legal business name Zenner, Timothy James
Credentials C.A.D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659597482 NPPES
Illinois MEDICAID 101YA0400X

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