Provider Demographics
NPI:1922766377
Name:ZAKARAUSKAS, ERICA ELIZABETH
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ELIZABETH
Last Name:ZAKARAUSKAS
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 1:16408 NEWCASTLE WAY
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-6023
Mailing Address - Country:US
Mailing Address - Phone:773-870-5346
Mailing Address - Fax:
Practice Address - Street 1:16408 NEWCASTLE WAY
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-6023
Practice Address - Country:US
Practice Address - Phone:773-870-5346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist