Doctor Name: | MR. JERRY M. ZABIN |
NPI Number: | 1003806548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 9701 Knox Ave 214 Skokie, IL - 600761256 |
Business Phone Number: | 8476773055 |
Business Fax Number: | 8473299316 |
Mailing Address: | 4043 Suffield Ct, SKOKIE |
State: | IL |
Postal Code: | 600761946 |
Phone Number: | 8476773055 |
Fax Number: | 8473299316 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |