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Search › Illinois › 103TC0700X

Mark Zissman, PSYD

NPI 1033607031 · on the registry since 2018 · sole proprietor

Practice

Address
222 S Greenleaf St Ste 106
Gurnee, IL 60031
Phone
(847) 356-8205
Organisation at this address
Creative Rehab, Inc.
Gateway Foundation Inc.
Vibhakar S Shah M.D., S.C.
Thomas And Thomas Medical Ltd
Gateway Professional Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois