Provider Demographics
NPI:1912231069
Name:ZWIEBEL, DINA
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:ZWIEBEL
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 1:134 N LASALLE ST
Mailing Address - Street 2:1850
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1100
Mailing Address - Country:US
Mailing Address - Phone:773-669-4778
Mailing Address - Fax:
Practice Address - Street 1:134 N LASALLE ST
Practice Address - Street 2:1850
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1100
Practice Address - Country:US
Practice Address - Phone:773-669-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional