Individual
BLAKE J ZWEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
801 SKOKIE BLVD STE 222, NORTHBROOK, IL 60062-4027
(847) 400-8912
Mailing address
2370 SHERMER RD, NORTHBROOK, IL 60062-6729
(847) 400-8912
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1882175
IL
Other
Enumeration date
07/24/2014
Last updated
02/08/2019
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