Provider Demographics
NPI:1508170622
Name:ZABIEGLY, ANNA KATARZYNA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KATARZYNA
Last Name:ZABIEGLY
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 OGDEN AVE STE 104C
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1693
Mailing Address - Country:US
Mailing Address - Phone:630-272-4717
Mailing Address - Fax:
Practice Address - Street 1:3080 OGDEN AVE STE 104C
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1693
Practice Address - Country:US
Practice Address - Phone:630-272-4717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005409101YP2500X
IL071008301103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL91Medicaid
IL91Medicaid