Provider Type Icon

JULIE WALLACE ZIMMERMAN L.C.S.W. NPI 1407863848


NPI Information

NPI: 1407863848
Provider Name: JULIE WALLACE ZIMMERMAN, L.C.S.W.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6426 S KENWOOD AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 241-5000
Get Directions

Julie Wallace Zimmerman, L.C.S.W. is a mental health counselor in Chicago, IL. Julie Wallace Zimmerman, L.C.S.W. NPI is 1407863848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6426 S KENWOOD AVE
CHICAGO, IL
ZIP 60637-948
Phone: (773) 241-5000
Fax: (773) 241-5000

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1210321MEDICARE ID-TYPE UNSPECIFIEDILLINOISPSYCHOTHERAPY
21632325OTHERILLINOISPSYCHOTHERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.