Provider Demographics
NPI:1720411085
Name:ZWERGEL, CATHERINE ELIZABETH (LAC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:ZWERGEL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 WASHINGTON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2567
Mailing Address - Country:US
Mailing Address - Phone:773-344-2028
Mailing Address - Fax:
Practice Address - Street 1:1215 WASHINGTON AVE STE 203
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091
Practice Address - Country:US
Practice Address - Phone:773-344-2028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198001150171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist