Provider Demographics
NPI:1992527956
Name:STRATIKOPOULOU, VASILIKI
Entity type:Individual
Prefix:
First Name:VASILIKI
Middle Name:
Last Name:STRATIKOPOULOU
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 1:8830 N ELMORE ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1739
Mailing Address - Country:US
Mailing Address - Phone:773-867-9249
Mailing Address - Fax:
Practice Address - Street 1:8830 N ELMORE ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1739
Practice Address - Country:US
Practice Address - Phone:773-867-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0278651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical