Healthcare Provider Details

I. General information

NPI: 1346674025
Provider Name (Legal Business Name): ESTHER M ZIGUN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 W TOUHY AVE UNIT G
CHICAGO IL
60645-5084
US

IV. Provider business mailing address

2840 W TOUHY AVE UNIT G
CHICAGO IL
60645-5084
US

V. Phone/Fax

Practice location:
  • Phone: 248-875-5724
  • Fax:
Mailing address:
  • Phone: 773-782-6153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number056.009987
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: