Provider Demographics
NPI:1033239595
Name:ZIMMERMAN, LOREEN BETH (AUD,CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LOREEN
Middle Name:BETH
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8143 NIELSEN DR.
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2699
Mailing Address - Country:US
Mailing Address - Phone:708-532-7041
Mailing Address - Fax:
Practice Address - Street 1:8143 NIELSEN DR.
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2699
Practice Address - Country:US
Practice Address - Phone:708-532-7041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002446A231H00000X, 237600000X
IL147-000037237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200938220OtherMEDICAID
INM400048376Medicare PIN