Organization
SANDRA ZAKOWSKI PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA DUBIN (ACCOUNTANT)
(847) 647-0250
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE STE 905, CHICAGO, IL 60601-7454
(773) 848-2768
(312) 453-0224
Mailing address
1614 N WOOD ST, CHICAGO, IL 60622-1326
(773) 848-2768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982958112
TYPE 1 NPI NUMBER
IL
Enumeration date
04/08/2019
Last updated
04/08/2019
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