Healthcare Provider Details

I. General information

NPI: 1629963046
Provider Name (Legal Business Name): SARAH ZIMMERMAN LCPC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 N HONORE ST STE 308
CHICAGO IL
60613-4572
US

IV. Provider business mailing address

4255 N HONORE ST STE 308
CHICAGO IL
60613-4572
US

V. Phone/Fax

Practice location:
  • Phone: 773-988-7528
  • Fax:
Mailing address:
  • Phone: 773-988-7528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH ZIMMERMAN
Title or Position: SOLE MBR
Credential: LCPC
Phone: 773-988-7528