MEDICARE: MR. JOSEPH STOYAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149.030221	IL

General Provider Information

NPI Number	:	1851263701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH STOYAS

Provider Business Mailing Address
First Line	:	333 COMMERCE DRIVE
Second Line	:	SUITE 300
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014
Country	:	US
Telephone Number	:	610-467-7553
Fax Number	:

Provider Business Practice Location Address
First Line	:	6167 ELDERBERRY LN
Second Line	:
City	:	CHERRY VALLEY
State	:	IL
Zip	:	61016-9746
Country	:	US
Telephone Number	:	224-412-1596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2025
Last Update Date	:	10/31/2025

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