Provider Demographics
NPI:1558088476
Name:ZIELINSKI, KATHRYN ANNE
Entity Type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:ANNE
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 PERSHING AVE APT 7A
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6233
Mailing Address - Country:US
Mailing Address - Phone:630-247-2517
Mailing Address - Fax:
Practice Address - Street 1:1928 JAMES CT
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3845
Practice Address - Country:US
Practice Address - Phone:847-278-1851
Practice Address - Fax:224-324-8549
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist