Loda, Stephanie L.

Loda, Stephanie L. is an sole proprietor health care provider with primary practice located at 125 S Wilke Rd Ste. 200 I, Arlington Heights IL 60005-1534. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Loda, Stephanie L. can be contacted via phone (847) 830-9512.

Contact Information

Primary practice address
125 S Wilke Rd Ste. 200 I Arlington Heights IL 60005-1534
Phone: (847) 830-9512
Fax: (847) 368-0847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-010982 Illinois

Profile Details

NPI number 1104817600
LBN Legal business name Loda, Stephanie L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Sep 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104817600 NPPES
Illinois Other 0001634867 BLUE CROSS BLUE SHIELD
Illinois Other 780778000 BLUE CROSS BLUE SHIELD

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