Doctor Name: | STACIE ANNE SOKOLOSKI |
NPI Number: | 1144648577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 209011326 |
Business Practice Address: | 40 W 75th St Willowbrook, IL - 60527 |
Business Phone Number: | 6305683247 |
Business Fax Number: | |
Mailing Address: | 40 West 75th Street, WILLOWBROOK |
State: | IL |
Postal Code: | 60527 |
Phone Number: | 6305683247 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209011326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |