Provider Demographics
NPI:1184988982
Name:ZHOU, LING
Entity type:Individual
Prefix:MRS
First Name:LING
Middle Name:
Last Name:ZHOU
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 1:521 S LA GRANGE RD
Mailing Address - Street 2:SUITE 204-A
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-6700
Mailing Address - Country:US
Mailing Address - Phone:708-482-9788
Mailing Address - Fax:708-482-9789
Practice Address - Street 1:521 S LA GRANGE RD
Practice Address - Street 2:SUITE 204-A
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-6700
Practice Address - Country:US
Practice Address - Phone:708-482-9788
Practice Address - Fax:708-482-9789
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056002006225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist