Search › Illinois › 1041C0700X
Jaq Zuidema, LCSW, ASDCS, TIYT
NPI 1043749310 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4000 W Montrose Ave # 790
Chicago, IL 60641 - Phone
- (918) 558-0338
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
1041C0700X
171M00000X - Licence states on file
- OK, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-14
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