Healthcare Provider Details

I. General information

NPI: 1952216277
Provider Name (Legal Business Name): ZION BENTON TOWNSHIP HIGH SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 21ST ST
ZION IL
60099-1400
US

IV. Provider business mailing address

3901 21ST ST
ZION IL
60099-1400
US

V. Phone/Fax

Practice location:
  • Phone: 847-731-9300
  • Fax:
Mailing address:
  • Phone: 847-731-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: SUNSHINE BROWN
Title or Position: SCHOOL PSYCHOLOGIST
Credential: MS ED
Phone: 847-731-9300