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Organization
JZGC LLC
Active
Organization
JZGC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ZACHARIAS LCSW (MEMBER)
(773) 720-0068
Entity
Organization
Contact information
Practice address
2420 W WINNEMAC AVE, CHICAGO, IL 60625-2614
(773) 720-0068
Mailing address
2420 W WINNEMAC AVE, CHICAGO, IL 60625-2614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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