Provider Demographics
NPI:1144534728
Name:ZURAWSKI, GARY T (LCSW, CADC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:T
Last Name:ZURAWSKI
Suffix:
Gender:M
Credentials:LCSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5332 W WINDSOR AVE
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-3759
Mailing Address - Country:US
Mailing Address - Phone:773-241-4213
Mailing Address - Fax:
Practice Address - Street 1:1560 SHERMAN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4818
Practice Address - Country:US
Practice Address - Phone:847-869-1500
Practice Address - Fax:847-869-1515
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL23648101YA0400X
IL1490131411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)