Individual
DR. STEPHANIE MARIE SOCIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-2950
(773) 702-2182
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
(773) 834-7073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021010435
MO
208D00000X
General Practice Physician
Primary
2021010435
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200073461
—
MO
Enumeration date
06/21/2019
Last updated
05/08/2026
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