DR. ZAIDA MEDINA (NPI# 1497896120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497896120 |
| Entity Type | Individual |
| Full Name | DR. ZAIDA MEDINA |
| Credential | LCPC |
| Practice Address |
300 Center Dr Ste 103 Vernon Hills IL 60061-1525 |
| Mailing Address |
605 Blazing Star Dr Lake Villa IL 60046-9012 |
| Practice Telephone | 2243812824 |
| Mailing Telephone | 2243812824 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180006654 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178003554 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 04932271 | 01 |
| IL | FEIN | 710957905 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 89 Cedar Ave, Lake Villa, IL 600468411 | 8472657300 | 8472657301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699937540 | Zaida Medina | Social Worker | Cond Estancias De Metropolis # 617, Carolina, PR 00987-7332 | 2008-07-01 |
| Street Address |
300 CENTER DR STE 103 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711795 | Elizabeth Markman | Counselor | 977 Lakeview Pkwy Ste 100&101, Vernon Hills, IL 60061-1400 | 2020-05-14 |
| 1437513785 | Nicole Briel Hiller | Counselor | 3 W Hawthorn Pkwy Ste 150, Vernon Hills, IL 60061-1447 | 2016-04-12 |
| 1649683731 | Quest Research Consulting Inc. | Counselor | 572 Muskegan Ct, Vernon Hills, IL 60061-3418 | 2014-06-05 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1841334059 | Hilary M Davis | Counselor | 200 N Fairway Dr, Suite 208, Vernon Hills, IL 60061-1861 | 2007-02-19 |
| 1104436807 | Iva Andonovska Wigget | Counselor | 175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454 | 2020-08-06 |
| 1114549169 | George Lee Xiong | Counselor | 977 Lakeview Pkwy Ste 180, Vernon Hills, IL 60061-1429 | 2020-05-13 |
| 1255952396 | Angela Meyer | Counselor | 175 E Hawthorn Pkwy Ste 235, Vernon Hills, IL 60061-1454 | 2020-04-29 |
| 1942835970 | Laurie Heinemannlongfield | Counselor | 200 N Fairway Dr Ste 208, Vernon Hills, IL 60061-1803 | 2020-03-10 |
| 1811549785 | Carolyn J Danno | Counselor | 200 N Fairway Dr Ste 208, Vernon Hills, IL 60061-1803 | 2019-07-11 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on DR. ZAIDA MEDINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.