Provider Demographics
NPI:1073624060
Name:ZIBERT, JOHN CHARLES (PHD; LCPC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHARLES
Last Name:ZIBERT
Suffix:
Gender:M
Credentials:PHD; LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6536 N ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-4907
Mailing Address - Country:US
Mailing Address - Phone:773-960-2762
Mailing Address - Fax:773-764-6377
Practice Address - Street 1:6536 N ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-4907
Practice Address - Country:US
Practice Address - Phone:773-960-2762
Practice Address - Fax:888-635-6531
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180-004874OtherIL BOARD FINAN & PROF REG