Provider Demographics
NPI:1437930898
Name:SOJKA, STEPHANIE L (MPH, CHES, WHE)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:SOJKA
Suffix:
Gender:F
Credentials:MPH, CHES, WHE
Other - Prefix:
Other - First Name:STEF
Other - Middle Name:L
Other - Last Name:SOJKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPH, CHES, WHE
Mailing Address - Street 1:687 GOLDENROD DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4211
Mailing Address - Country:US
Mailing Address - Phone:630-362-4443
Mailing Address - Fax:
Practice Address - Street 1:687 GOLDENROD DR
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4211
Practice Address - Country:US
Practice Address - Phone:630-362-4443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach