Healthcare Provider Details

I. General information

NPI: 1659942829
Provider Name (Legal Business Name): WENDY ROSE STOCZANSKYJ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 N RANDALL RD STE 380
ELGIN IL
60123-9406
US

IV. Provider business mailing address

1710 N RANDALL RD STE 380
ELGIN IL
60123-9406
US

V. Phone/Fax

Practice location:
  • Phone: 847-450-6057
  • Fax: 847-760-1683
Mailing address:
  • Phone: 847-450-6057
  • Fax: 847-760-1683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRNP272326
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF07210574
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: