Organization
GLENKIRK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE ZANON-TOCKE LCPC, NCC (ADMINISTRATOR)
(773) 360-4206
Entity
Organization
Contact information
Practice address
3300 DUNDEE RD, NORTHBROOK, IL 60062-2303
(847) 272-5111
(847) 272-7350
Mailing address
3300 DUNDEE RD, NORTHBROOK, IL 60062-2303
(847) 272-5111
(847) 272-7350
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BHC-2121401
—
IL
Enumeration date
02/05/2021
Last updated
10/15/2025
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