Healthcare Provider Details

I. General information

NPI: 1821909169
Provider Name (Legal Business Name): ALEXANDRA KATHERINE ZUGAJ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3232 LAKE AVE STE 330
WILMETTE IL
60091-1085
US

IV. Provider business mailing address

3232 LAKE AVE STE 330
WILMETTE IL
60091-1085
US

V. Phone/Fax

Practice location:
  • Phone: 224-266-9420
  • Fax:
Mailing address:
  • Phone: 224-266-9420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.039829
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: