Provider Demographics
NPI:1144740085
Name:SKOCZ, JOHN RODNEY (LCPC, CAADC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RODNEY
Last Name:SKOCZ
Suffix:
Gender:M
Credentials:LCPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 FOXGLOVE DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-6319
Mailing Address - Country:US
Mailing Address - Phone:847-989-0361
Mailing Address - Fax:
Practice Address - Street 1:27W350 HIGH LAKE RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1262
Practice Address - Country:US
Practice Address - Phone:630-933-4673
Practice Address - Fax:630-933-1933
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL29055101YA0400X
IL180.010250101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)