Provider Demographics
NPI:1407742869
Name:HERNANDEZ ZEIND, JOSE ANTONIO (LCPC)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ANTONIO
Last Name:HERNANDEZ ZEIND
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 WASHINGTON BLVD APT C3
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3734
Mailing Address - Country:US
Mailing Address - Phone:708-685-5292
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVE FL 7
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3357
Practice Address - Country:US
Practice Address - Phone:312-922-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016939101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional