MEDICARE: SARAH ZIMMERMAN MA

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1992208078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ZIMMERMAN MA

Provider Business Mailing Address
First Line	:	636 CHURCH ST STE 714
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-4587
Country	:	US
Telephone Number	:	773-988-7528
Fax Number	:

Provider Business Practice Location Address
First Line	:	4255 N HONORE ST STE 308
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4572
Country	:	US
Telephone Number	:	773-988-7528
Fax Number	:

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

Provider Enumeration Date	:	03/14/2018
Last Update Date	:	02/18/2026

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