Provider Demographics
NPI:1992843858
Name:SOBIESZCZYK, DEBORAH (MSW)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:SOBIESZCZYK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:POTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:2907 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1175
Mailing Address - Country:US
Mailing Address - Phone:630-586-0900
Mailing Address - Fax:630-586-9990
Practice Address - Street 1:2907 BUTTERFIELD RD
Practice Address - Street 2:SUITE 240
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1175
Practice Address - Country:US
Practice Address - Phone:630-586-0900
Practice Address - Fax:630-586-9990
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0087461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical