Provider Demographics
NPI:1780761882
Name:STEPHEN J SOKALSKI DO LTD
Entity type:Organization
Organization Name:STEPHEN J SOKALSKI DO LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOKALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-684-5674
Mailing Address - Street 1:777 OAKMONT LN
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5511
Mailing Address - Country:US
Mailing Address - Phone:630-789-2550
Mailing Address - Fax:
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-5674
Practice Address - Fax:708-684-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCA6704OtherRAILROAD MEDICARE
IL14612OtherADVOCATE HLTH PARTNERS ID
IL2160749230OtherBCBS PROVIDER ID
ILCJ7938OtherRAILROAD MEDICARE
ILCA6704OtherRAILROAD MEDICARE
ILCJ7938OtherRAILROAD MEDICARE
IL2160749230OtherBCBS PROVIDER ID
IL977330Medicare PIN