Individual
DR. ROGER CHARLES STEFANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
625 PLAINFIELD RD STE 326, WILLOWBROOK, IL 60527-5382
(630) 590-5287
(630) 590-5541
Mailing address
625 PLAINFIELD RD STE 326, WILLOWBROOK, IL 60527-5382
(630) 590-5287
(630) 590-5541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001628628
BCBS OF IL
IL
Enumeration date
10/29/2006
Last updated
04/09/2020
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