Healthcare Provider Details

I. General information

NPI: 1801734843
Provider Name (Legal Business Name): MARY-FRANCES THERESE ZIMMERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W PARK AVE STE 130
ELMHURST IL
60126-3379
US

IV. Provider business mailing address

180 W PARK AVE STE 130
ELMHURST IL
60126-3379
US

V. Phone/Fax

Practice location:
  • Phone: 630-286-9360
  • Fax: 630-647-5680
Mailing address:
  • Phone: 630-286-9360
  • Fax: 630-647-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149021686
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: