Provider Demographics
NPI:1801301213
Name:SERVEN, ZACHARY DEVERE (DC)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:DEVERE
Last Name:SERVEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 LEE ST
Mailing Address - Street 2:STE 207
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6465
Mailing Address - Country:US
Mailing Address - Phone:847-768-9330
Mailing Address - Fax:
Practice Address - Street 1:701 LEE ST STE 450
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4545
Practice Address - Country:US
Practice Address - Phone:847-768-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor