NPIMap

Organization Active NPI

Doreen a. Zaborac & Associates, Inc.

  • Counselor
  • Tinley Park, IL
National Provider Identifier
1649487521
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
DOREEN A. ZABORAC & ASSOCIATES, INC.
Practice address
17255 Oak Park Ave
Tinley Park, IL 60477-3401
Phone
(815) 955-2832
Fax
(708) 633-1823
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Doreen A Zaborac, L.C.P.C.NPI 1619166915
Title
Director
Phone
(815) 955-2832

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
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X IL Primary

Addresses

Primary practice location

17255 Oak Park Ave
Tinley Park, IL 60477-3401

Mailing address

17255 Oak Park Ave
Tinley Park, IL 60477-3401
Phone (815) 955-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000731 IL Part B Supplier - Clinic/Group Practice 6204901150 Receives reassigned benefits from 8 practitioners
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

17255 Oak Park Ave
Tinley Park, IL 60477
Phone (708) 633-4533

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649487521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17255 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773401",
            "telephone_number": "815-955-2832",
            "fax_number": "708-633-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17255 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773401",
            "telephone_number": "815-955-2832",
            "fax_number": "708-633-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOREEN A. ZABORAC & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZABORAC",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-955-2832",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.