Healthcare Provider Details

I. General information

NPI: 1427628379
Provider Name (Legal Business Name): STEPHANIE STRIEKER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date: 07/08/2021
Reactivation Date: 07/22/2021

III. Provider practice location address

333 N RANDALL RD STE 20
ST CHARLES IL
60174-1500
US

IV. Provider business mailing address

333 N RANDALL RD STE 20
ST CHARLES IL
60174-1500
US

V. Phone/Fax

Practice location:
  • Phone: 847-507-3583
  • Fax:
Mailing address:
  • Phone: 847-507-3583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number150116462
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: