Individual
ALEXANDER ZUBENKO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
4699 AUVERGNE AVE, SUITE #7, LISLE, IL 60532-1911
(630) 960-5860
(630) 960-5864
Mailing address
4699 AUVERGNE AVE, SUITE #7, LISLE, IL 60532-1911
(630) 960-5860
(630) 960-5864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02207933
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
01/23/2006
Last updated
07/08/2007
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