Provider Demographics
NPI:1720074685
Name:SOKALSKI, STEPHEN (DO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:SOKALSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:708-684-2500
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
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-043251207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2160749230OtherBCBS PROVIDER ID
WI363198190011OtherBCBS PROVIDER ID
IL036043251Medicaid
IL14612OtherADVOCATE HLTH PARTNERS ID
IL3631981900OtherADVOCATE HLTH CENTERS ID
IL440003721OtherRAILROAD MEDICARE
IL607912000OtherUS DEPT OF LABOR
IL2160749230OtherBCBS PROVIDER ID
IL607912000OtherUS DEPT OF LABOR
IL3631981900OtherADVOCATE HLTH CENTERS ID
IL440003721Medicare PIN