Organization Active NPI

Zenflower Integrative Pediatrics S.C.

  • Pediatrics Physician
  • Homer Glen, IL
National Provider Identifier
1467067074
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monika Agata Siedlarz, MDNPI 1164719720
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.