Provider Demographics
NPI:1376675546
Name:DEBORAH ZIMMERMAN PHD PC
Entity Type:Organization
Organization Name:DEBORAH ZIMMERMAN PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:312-444-9330
Mailing Address - Street 1:307 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 2024
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5410
Mailing Address - Country:US
Mailing Address - Phone:312-444-9330
Mailing Address - Fax:312-444-9368
Practice Address - Street 1:307 N MICHIGAN AVE
Practice Address - Street 2:SUITE 2024
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5410
Practice Address - Country:US
Practice Address - Phone:312-444-9330
Practice Address - Fax:312-444-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty