Healthcare Provider Details

I. General information

NPI: 1154307726
Provider Name (Legal Business Name): DEBORAH SPRINGMAN WOJCIK MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1866 SHERIDAN RD SUITE 216
HIGHLAND PARK IL
60035-2547
US

IV. Provider business mailing address

1866 SHERIDAN RD SUITE 216
HIGHLAND PARK IL
60035-2547
US

V. Phone/Fax

Practice location:
  • Phone: 773-743-1386
  • Fax: 773-743-1386
Mailing address:
  • Phone: 773-743-1386
  • Fax: 773-743-1386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: