Provider Demographics
NPI:1982049615
Name:ZEIGLER, BEVERLY
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:
Last Name:ZEIGLER
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 1:973 E 101ST ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-7606
Mailing Address - Country:US
Mailing Address - Phone:773-440-8908
Mailing Address - Fax:773-840-4394
Practice Address - Street 1:973 E 101ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-7606
Practice Address - Country:US
Practice Address - Phone:773-440-8908
Practice Address - Fax:773-840-4394
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist