Provider Demographics
NPI:1194925230
Name:ZENDEJAS, JOSE ARTHUR
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ARTHUR
Last Name:ZENDEJAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 DAYBREAK DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-6702
Mailing Address - Country:US
Mailing Address - Phone:630-340-3821
Mailing Address - Fax:
Practice Address - Street 1:2207 DAYBREAK DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-6702
Practice Address - Country:US
Practice Address - Phone:630-340-3821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter