Individual
DR. SANDRA GABRIELE ZAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
180 N MICHIGAN AVE STE 905, CHICAGO, IL 60601-7454
(773) 848-2768
Mailing address
1614 N WOOD ST, CHICAGO, IL 60622-1326
(773) 848-2768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007501
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12441219
CAQH
IL
Enumeration date
11/09/2012
Last updated
04/08/2019
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