Healthcare Provider Details

I. General information

NPI: 1730020538
Provider Name (Legal Business Name): UNALOME PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4809 N RAVENSWOOD AVE UNIT 111
CHICAGO IL
60640-4417
US

IV. Provider business mailing address

4809 N RAVENSWOOD AVE UNIT 111
CHICAGO IL
60640-4417
US

V. Phone/Fax

Practice location:
  • Phone: 312-752-4335
  • Fax:
Mailing address:
  • Phone: 312-752-4335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY ZWEIFEL
Title or Position: OWNER
Credential: PSYD
Phone: 608-295-1869