Healthcare Provider Details

I. General information

NPI: 1093948507
Provider Name (Legal Business Name): DAWN G. ZAPPITELLI L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 DEAN ST STE 102
ST CHARLES IL
60175-1068
US

IV. Provider business mailing address

2320 DEAN ST STE 102
ST CHARLES IL
60175-1068
US

V. Phone/Fax

Practice location:
  • Phone: 630-443-9100
  • Fax: 630-443-9101
Mailing address:
  • Phone: 630-443-9100
  • Fax: 630-443-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.013399
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: