Provider Demographics
NPI:1043367493
Name:DOJKA, DENISE MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MARIE
Last Name:DOJKA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 FRANKLIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2664
Mailing Address - Country:US
Mailing Address - Phone:630-247-3742
Mailing Address - Fax:630-365-1429
Practice Address - Street 1:321 FRANKLIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2664
Practice Address - Country:US
Practice Address - Phone:630-247-3742
Practice Address - Fax:630-365-1429
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL637540Medicare ID - Type Unspecified