Provider Demographics
NPI:1689683013
Name:ZIMMERMAN, LINDA L (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 COACHMAKER DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1507
Mailing Address - Country:US
Mailing Address - Phone:847-564-0283
Mailing Address - Fax:847-446-0345
Practice Address - Street 1:255 COACHMAKER DR
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1507
Practice Address - Country:US
Practice Address - Phone:847-564-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional