Healthcare Provider Details

I. General information

NPI: 1578215331
Provider Name (Legal Business Name): MARCI LYNN ZAGO LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARCI LYNN MAZZA

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N MICHIGAN AVE STE 1008
CHICAGO IL
60601-5310
US

IV. Provider business mailing address

307 N MICHIGAN AVE STE 1008
CHICAGO IL
60601-5310
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-7672
  • Fax:
Mailing address:
  • Phone: 708-529-7672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178007232
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.017675
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: