Provider Demographics
NPI:1164274197
Name:ZOBRIST, ABIGAIL J (LSW)
Entity Type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:J
Last Name:ZOBRIST
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 S FRONTAGE RD STE 36
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6169
Mailing Address - Country:US
Mailing Address - Phone:630-974-6777
Mailing Address - Fax:
Practice Address - Street 1:241 S FRONTAGE RD STE 36
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6169
Practice Address - Country:US
Practice Address - Phone:630-974-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.112120104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker