MEDICARE: WEIQI ZHONG LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	150.115624	IL

General Provider Information

NPI Number	:	1598566382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEIQI ZHONG LSW

Provider Business Mailing Address
First Line	:	1400 S WABASH AVE APT 705
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2993
Country	:	US
Telephone Number	:	917-698-7942
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2204
Country	:	US
Telephone Number	:	312-285-2287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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Directions to “ WEIQI ZHONG LSW” Practice Location

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