Healthcare Provider Details

I. General information

NPI: 1598606527
Provider Name (Legal Business Name): J ZHU PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 S MICHIGAN AVE
CHICAGO IL
60616
US

IV. Provider business mailing address

1245 S MICHIGAN AVE STE 216
CHICAGO IL
60605-2408
US

V. Phone/Fax

Practice location:
  • Phone: 872-216-9703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: JIE ZHU
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 872-216-9703