Healthcare Provider Details

I. General information

NPI: 1447183231
Provider Name (Legal Business Name): ANGELA MARIE ZARA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WASHINGTON ST STE 1458
CHICAGO IL
60602-1856
US

IV. Provider business mailing address

600 S DEARBORN ST APT 804
CHICAGO IL
60605-1829
US

V. Phone/Fax

Practice location:
  • Phone: 312-725-6136
  • Fax:
Mailing address:
  • Phone: 847-220-0540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.023226
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: