Provider Demographics
NPI:1598961682
Name:STANKIEWICZ, XOCHITL MARIA (SL)
Entity Type:Individual
Prefix:
First Name:XOCHITL
Middle Name:MARIA
Last Name:STANKIEWICZ
Suffix:
Gender:F
Credentials:SL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 CINDY JO AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-6917
Mailing Address - Country:US
Mailing Address - Phone:847-219-6328
Mailing Address - Fax:
Practice Address - Street 1:10300 CINDY JO AVE
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-6917
Practice Address - Country:US
Practice Address - Phone:847-219-6328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist