Organization · NPI-2
Zamzam Foundation INC
Family Medicine · Wood Dale, IL
NPI number1043942238
StatusActive
Last updated in NPPESJun 27, 2022
Details
- NPI
- 1043942238
- Entity type
- Organization (NPI-2)
- Legal business name
- Zamzam Foundation INC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Jun 27, 2022
- Last updated
- Jun 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TP0016X | Psychologist, Prescribing (Medical) | – | – | |
| 104100000X | Social Worker | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
343 N Wood Dale RdWood Dale, IL 60191-1578
Phone 917-348-6408
Mailing address
343 N Wood Dale RdWood Dale, IL 60191-1578
Phone 917-348-6408
Authorized official
Abdul Maten
Ceo
3125740111
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