Active NPI
Mark M Zebrowski, PH.D.
- School Psychologist
- Bourbonnais, IL
National Provider Identifier
1437207131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 22 Heritage Dr
Suite 104
Bourbonnais, IL 60914-2501 - Phone
- (815) 939-4232
- Fax
- (815) 939-4978
- NPI assigned
- Jan 8, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | IL | ||
| Clinical Psychologist | 103TC0700X | IL | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | IL | ||
| Group Psychotherapy Psychologist | 103TP2701X | IL | ||
| School Psychologist | 103TS0200X | IL | Primary |
Addresses
Primary practice location
22 Heritage Dr
Suite 104
Bourbonnais, IL 60914-2501
Mailing address
28312 S Route 45
Peotone, IL 60468-9671
Phone (708) 903-9529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.003478 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437207131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28312 S ROUTE 45",
"city": "PEOTONE",
"state": "IL",
"postal_code": "604689671",
"telephone_number": "708-903-9529",
"fax_number": "708-258-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HERITAGE DR",
"address_2": "SUITE 104",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609142501",
"telephone_number": "815-939-4232",
"fax_number": "815-939-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEBROWSKI",
"first_name": "MARK",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.