Provider Demographics
NPI:1689027096
Name:UNJOM, ZUBINA S (MD)
Entity type:Individual
Prefix:
First Name:ZUBINA
Middle Name:S
Last Name:UNJOM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ZUBINA
Other - Middle Name:S
Other - Last Name:LAL DIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6155 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-1651
Mailing Address - Country:US
Mailing Address - Phone:847-535-7647
Mailing Address - Fax:
Practice Address - Street 1:6155 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-1651
Practice Address - Country:US
Practice Address - Phone:847-535-7647
Practice Address - Fax:847-545-8109
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.069498207R00000X
WI7550820207RE0101X
IL036148434207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine