Individual
MRS. DEANNA L ZEDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
771 THACKERAY DR, HIGHLAND PARK, IL 60035-4062
(847) 432-1345
(847) 432-3436
Mailing address
771 THACKERAY DR, HIGHLAND PARK, IL 60035-4062
(847) 432-1345
(847) 432-3436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621363
BLUE SHIELD PROVIDER NUMB
ID
Enumeration date
08/08/2006
Last updated
07/08/2007
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