Provider Demographics
NPI:1043435282
Name:ZIPPRICH, MARK EUGENE (LCPC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:EUGENE
Last Name:ZIPPRICH
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 138S
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-3418
Mailing Address - Country:US
Mailing Address - Phone:630-234-5553
Mailing Address - Fax:630-528-3805
Practice Address - Street 1:2625 BUTTERFIELD RD
Practice Address - Street 2:SUITE 138S
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-3418
Practice Address - Country:US
Practice Address - Phone:630-234-5553
Practice Address - Fax:630-528-3805
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL180006155101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional