Healthcare Provider Details

I. General information

NPI: 1831221928
Provider Name (Legal Business Name): AMY ZECHMAN VREE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 W WILSON AVE 5TH FLOOR
CHICAGO IL
60640-5255
US

IV. Provider business mailing address

1850 N WILMOT AVE
CHICAGO IL
60647-4417
US

V. Phone/Fax

Practice location:
  • Phone: 773-907-2347
  • Fax:
Mailing address:
  • Phone: 773-489-0350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: