Zissman, Mark A

Zissman, Mark A is an sole proprietor health care provider with primary practice located at 222 S Greenleaf St Ste 106 , Gurnee IL 60031-5705. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zissman, Mark A can be contacted via phone (847) 356-8205.

Contact Information

Primary practice address
222 S Greenleaf St Ste 106 Gurnee IL 60031-5705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009193 Illinois

Profile Details

NPI number 1033607031
LBN Legal business name Zissman, Mark A
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2018
Last updated Sep 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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