Provider Demographics
NPI:1891128492
Name:ZARTUCHE, ANGELA M (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:M
Last Name:ZARTUCHE
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N CLARK ST STE 2650
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-5104
Mailing Address - Country:US
Mailing Address - Phone:866-296-5262
Mailing Address - Fax:877-991-8819
Practice Address - Street 1:20 N CLARK ST STE 2650
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-5104
Practice Address - Country:US
Practice Address - Phone:866-296-5262
Practice Address - Fax:877-991-8819
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist