Individual
DAVID ZAGORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-003850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-003850
LCSW
IL
Enumeration date
06/24/2011
Last updated
06/24/2011
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