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Mr. Stephen John Roeckeman, PSYD
Student in an Organized Health Care Education/Training Program in Wheaton, Illinois
NPI 1669655064

Stephen John Roeckeman is a Student in an Organized Health Care Education/Training Program based in Wheaton, IL. Stephen John Roeckeman practices in Wheaton, IL and has the professional credentials of PSYD. The NPI Number for Stephen John Roeckeman is 1669655064 and holds a License No. (Illinois).

The current practice location address for Stephen John Roeckeman is 2100 Manchester Rd, Wheaton, IL and can be reached out via phone at 630-653-1717. You can also correspond with Stephen John Roeckeman through the mailing address at 851 COLLEGE AVE, WHEATON, IL - 60187-4309 (mailing address contact number: 217-898-6773).

Location: 2100 Manchester Rd, Wheaton, IL, 60187-4309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669655064
Provider Name
Stephen John Roeckeman
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
2100 Manchester Rd, Wheaton, IL, 60187-4309
Phone Number
630-653-1717
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 Manchester Rd
City
Wheaton
State
Illinois
Zip
60187-4579
Phone Number
630-653-1717
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Manchester Rd
City
Wheaton
State
Illinois
Zip
60187-4579
Phone Number
630-653-1717
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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