| Danielle Zimmerman | |
|
67 Main St Ste 2b Oswego IL 60543-8957 | |
| (815) 556-9144 | |
| Not Available |
| Full Name | Danielle Zimmerman |
|---|---|
| Speciality | Counselor - Professional |
| Location | 67 Main St Ste 2b, Oswego, Illinois |
| Authorized Official Name and Position | Danielle Zimmerman (CLINICAL THERAPIST) |
| Authorized Official Contact | 8155569144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Zimmerman 67 Main St Ste 2b Oswego IL 60543-8957 Ph: (815) 556-9144 | Danielle Zimmerman 67 Main St Ste 2b Oswego IL 60543-8957 Ph: (815) 556-9144 |
| NPI Number | 1699285387 |
|---|---|
| Provider Enumeration Date | 10/07/2017 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699285387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008633 (Illinois) | Primary |
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