Healthcare Provider Details

I. General information

NPI: 1487568762
Provider Name (Legal Business Name): XINYI ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 DAVIS ST STE 200
EVANSTON IL
60201-4491
US

IV. Provider business mailing address

5601 N SHERIDAN RD APT 14B
CHICAGO IL
60660-4868
US

V. Phone/Fax

Practice location:
  • Phone: 773-294-0176
  • Fax:
Mailing address:
  • Phone: 872-985-4412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.018781
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: