Provider Demographics
NPI:1083480917
Name:ZAFFINO, JENNA (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:ZAFFINO
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W BELLE PLAINE AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2493
Mailing Address - Country:US
Mailing Address - Phone:773-991-1292
Mailing Address - Fax:
Practice Address - Street 1:1801 W BELLE PLAINE AVE STE 208
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2493
Practice Address - Country:US
Practice Address - Phone:773-991-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach