Provider Demographics
NPI:1104505148
Name:ZHU, ZI LI
Entity type:Individual
Prefix:
First Name:ZI LI
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 S WENTWORTH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2789
Mailing Address - Country:US
Mailing Address - Phone:312-526-3331
Mailing Address - Fax:312-526-3966
Practice Address - Street 1:2810 S WENTWORTH AVE STE 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2789
Practice Address - Country:US
Practice Address - Phone:312-526-3331
Practice Address - Fax:312-526-3966
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL29123721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical