Provider Demographics
NPI:1366920332
Name:DROZD, STEPHANIE DELIZA
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:DELIZA
Last Name:DROZD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 SHEPARD RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-4149
Mailing Address - Country:US
Mailing Address - Phone:708-912-1195
Mailing Address - Fax:
Practice Address - Street 1:1585 DEMPSTER ST STE 110
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4992
Practice Address - Country:US
Practice Address - Phone:847-621-2040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker