Stephanie E. Wojtowicz
Pediatrician
2532 Farragut Dr
Springfield
, Illinois 62704-1433
Stephanie E. Wojtowicz
Pediatrician
2532 Farragut Dr
Springfield
, Illinois 62704-1433
(217) 528-7541
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Stephanie E. Wojtowicz
- 1025 S 6th St
- Springfield, IL
- Zip : 62703-2403
- Phone : (217) 528-7541
Second Address
- Stephanie E. Wojtowicz
- 2532 Farragut Dr
- Springfield, IL
- Zip : 62704-1433
- Phone : (217) 787-9424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036-100036 | IL |
National Provider Identifier
| NPI | 1003917089 |
|---|---|
| Provider Name | Stephanie E. Wojtowicz |
| First Address | Springfield, IL 62703-2403 |
| Second Address | Springfield, IL 62704-1433 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 19/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036100036 | (05) | IL |
| G99079 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.