Provider Demographics
NPI:1316822000
Name:ZELAZKO, MAGDALENA
Entity type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:ZELAZKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAGDALENA
Other - Middle Name:
Other - Last Name:SALVO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:802 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-3919
Mailing Address - Country:US
Mailing Address - Phone:224-619-0811
Mailing Address - Fax:
Practice Address - Street 1:802 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-3919
Practice Address - Country:US
Practice Address - Phone:224-619-0811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health