Provider Demographics
NPI:1215204482
Name:ZABRISKIE, JANINE C (MED, CCLS)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:C
Last Name:ZABRISKIE
Suffix:
Gender:F
Credentials:MED, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 N ASHLAND AVE APT 2E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-5564
Mailing Address - Country:US
Mailing Address - Phone:614-352-6666
Mailing Address - Fax:
Practice Address - Street 1:3918 N ASHLAND AVE APT 2E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-5564
Practice Address - Country:US
Practice Address - Phone:614-352-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist