Active NPI
Zen Tantra Wellness Center
- Physical Therapy Clinic/Center
- Grayslake, IL
National Provider Identifier
1871857094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070-010743
- Legal business name
- ZEN TANTRA WELLNESS CENTER
- Practice address
- 1475 E Belvidere Rd
Suite 216
Grayslake, IL 60030-2012 - Phone
- (847) 219-6278
- Fax
- (846) 229-0141
- NPI assigned
- Jul 3, 2012
- 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
- Mrs. Zenobia Zubin Tantra, PT
- Title
- Member
- Phone
- (847) 219-6278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070-010743 | IL | Primary |
Addresses
Primary practice location
1475 E Belvidere Rd
Suite 216
Grayslake, IL 60030-2012
Mailing address
2426 RFD
Long Grove, IL 60047-8306
Phone (847) 219-6278
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341273600000",
"number": "1871857094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 RFD",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600478306",
"telephone_number": "847-219-6278",
"fax_number": "846-229-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 E BELVIDERE RD",
"address_2": "SUITE 216",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302012",
"telephone_number": "847-219-6278",
"fax_number": "846-229-0141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEN TANTRA WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A",
"authorized_official_last_name": "TANTRA",
"authorized_official_first_name": "ZENOBIA",
"authorized_official_middle_name": "ZUBIN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "847-219-6278",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "070-010743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.