Provider Demographics
NPI:1285847780
Name:ZINK, JUDITH A (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:A
Last Name:ZINK
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N. MICHIGAN AVE., SUITE 734
Mailing Address - Street 2:HARRIS CLINICAL GROUP
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601
Mailing Address - Country:US
Mailing Address - Phone:312-729-5433
Mailing Address - Fax:312-729-5098
Practice Address - Street 1:155 N. MICHIGAN AVE., SUITE 734
Practice Address - Street 2:HARRIS CLINICAL GROUP
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601
Practice Address - Country:US
Practice Address - Phone:312-729-5433
Practice Address - Fax:312-729-5098
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional