Individual
CHRISTINE ZANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SLAWIN CT, MT PROSPECT, IL 60056-2183
(847) 962-4589
Mailing address
1925 N CLYBOURN AVE, SUITE 200, CHICAGO, IL 60614-4946
(847) 962-4589
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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