Provider Demographics
NPI:1306822630
Name:STERZIK, TIMOTHY (PSYD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:STERZIK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2947
Mailing Address - Country:US
Mailing Address - Phone:847-236-1840
Mailing Address - Fax:
Practice Address - Street 1:8601 W BRYN MAWR AVE
Practice Address - Street 2:FORSTER COUNSELING
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3570
Practice Address - Country:US
Practice Address - Phone:773-695-0900
Practice Address - Fax:773-695-0700
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01618781OtherBS/BC
ILP00239005OtherMEDICARE RAILROAD
IL01618781OtherBS/BC