Provider Demographics
NPI:1588489751
Name:OELKE, STEPHEN (LPC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:OELKE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2514 W ARMITAGE AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5970
Mailing Address - Country:US
Mailing Address - Phone:773-697-9278
Mailing Address - Fax:
Practice Address - Street 1:2514 W ARMITAGE AVE STE 211
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5970
Practice Address - Country:US
Practice Address - Phone:773-697-9278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.019230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional