Healthcare Provider Details

I. General information

NPI: 1184508087
Provider Name (Legal Business Name): CATHERINE ZHONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6926 N GLENWOOD AVE
CHICAGO IL
60626-3412
US

IV. Provider business mailing address

1500 CHICAGO AVE APT 718
EVANSTON IL
60201-4437
US

V. Phone/Fax

Practice location:
  • Phone: 773-257-3546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: