Provider Demographics
NPI:1083261572
Name:KOSZYK, ZACHARY J (LCPC)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:J
Last Name:KOSZYK
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 N ARLINGTON HEIGHTS RD STE E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1591
Mailing Address - Country:US
Mailing Address - Phone:847-528-1462
Mailing Address - Fax:
Practice Address - Street 1:3345 N ARLINGTON HEIGHTS RD STE E
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1591
Practice Address - Country:US
Practice Address - Phone:847-577-1501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional