Provider Demographics
NPI:1104473263
Name:MOTIVATED MEDICINE, PLLC
Entity type:Organization
Organization Name:MOTIVATED MEDICINE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:ZIELSDORF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-492-1965
Mailing Address - Street 1:480 E ROOSEVELT RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3969
Mailing Address - Country:US
Mailing Address - Phone:630-492-1965
Mailing Address - Fax:630-492-0933
Practice Address - Street 1:480 E ROOSEVELT RD STE 105
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3969
Practice Address - Country:US
Practice Address - Phone:630-492-1965
Practice Address - Fax:630-492-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty