Provider Demographics
NPI:1114262755
Name:GIRON-GILLIANA, SYLVIA (APN, NP)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:GIRON-GILLIANA
Suffix:
Gender:F
Credentials:APN, NP
Other - Prefix:MS
Other - First Name:SYLVIA
Other - Middle Name:
Other - Last Name:GIRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN, NP
Mailing Address - Street 1:1786 MOON LAKE BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-5029
Mailing Address - Country:US
Mailing Address - Phone:847-755-8090
Mailing Address - Fax:847-843-7393
Practice Address - Street 1:1786 MOON LAKE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-5029
Practice Address - Country:US
Practice Address - Phone:847-755-8090
Practice Address - Fax:847-843-7393
Is Sole Proprietor?:No
Enumeration Date:2012-12-09
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.008539363LF0000X
IL209-008539363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily