Doctor Name: | MRS. AGNIESZKA SOBECKA |
NPI Number: | 1598934234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DEVELOP THERAPIST |
License Number: | AS90850901P |
Business Practice Address: | 857 Center Ct Suite D Shorewood, IL - 604048519 |
Business Phone Number: | 8157301818 |
Business Fax Number: | 8157300808 |
Mailing Address: | 64 W 64th St, #201 WESTMONT |
State: | IL |
Postal Code: | 605593121 |
Phone Number: | 6307951672 |
Fax Number: | 8157301818 |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AS90850901P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |