Provider Demographics
NPI:1447708136
Name:ZHANG, ZHENXIONG (DPT)
Entity type:Individual
Prefix:
First Name:ZHENXIONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:630-575-1980
Mailing Address - Fax:630-928-5080
Practice Address - Street 1:1519 W SOUTH ST STE 300
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:IN
Practice Address - Zip Code:46052-2371
Practice Address - Country:US
Practice Address - Phone:765-335-3355
Practice Address - Fax:765-485-9073
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011137208100000X
IN05013466A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation