Active NPI
Zenflower Integrative Pediatrics S.C.
- Pediatrics Physician
- Homer Glen, IL
National Provider Identifier
1467067074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ZENFLOWER INTEGRATIVE PEDIATRICS S.C.
- Practice address
- 14933 Founders Xing
Homer Glen, IL 60491-6712 - Phone
- (708) 778-3001
- NPI assigned
- Sep 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monika Agata Siedlarz, MD
- Title
- Ceo
- Phone
- (708) 778-3001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
14933 Founders Xing
Homer Glen, IL 60491-6712
Mailing address
16200 Golfview Dr
Lockport, IL 60441-4655
Phone (847) 710-2392
National Provider Directory
National Provider DirectoryLocations
14757 Founders Xing
Homer Glen, IL 60491
14933 Founders Xing
Lockport, IL 60491
Phone (708) 737-7968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Lockport, IL
- NPI 1164719720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1467067074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16200 GOLFVIEW DR",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604414655",
"telephone_number": "847-710-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14933 FOUNDERS XING",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916712",
"telephone_number": "708-778-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZENFLOWER INTEGRATIVE PEDIATRICS S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "SIEDLARZ",
"authorized_official_first_name": "MONIKA",
"authorized_official_middle_name": "AGATA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-778-3001",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.