Provider Demographics
NPI:1073231890
Name:AJ SYLVIE HEALTH SERVICES LTD.
Entity Type:Organization
Organization Name:AJ SYLVIE HEALTH SERVICES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ATOMORI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-FPA
Authorized Official - Phone:773-879-0206
Mailing Address - Street 1:10522 S CICERO AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5200
Mailing Address - Country:US
Mailing Address - Phone:773-449-0400
Mailing Address - Fax:773-373-0302
Practice Address - Street 1:10522 S CICERO AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5200
Practice Address - Country:US
Practice Address - Phone:773-449-0400
Practice Address - Fax:773-688-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL277.002157OtherADVANCE NURSE PRACTITIONER FULL PRACTICE AUTHORITY