Individual
DR. JEANETTE ZWICKY SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. ,C.A.D.C.
Contact information
Practice address
1100 LAKE STREET, SUITE 210 B, OAK PARK, IL 60301
(708) 628-7578
Mailing address
1100 LAKE STREET, SUITE 210 B, OAK PARK, IL 60301
(708) 628-7578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.005823
IL
Other
Enumeration date
09/01/2017
Last updated
01/08/2018
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