Provider Demographics
NPI:1295042190
Name:BABBIN, SYLVIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:
Last Name:BABBIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 N ASTOR ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-2171
Mailing Address - Country:US
Mailing Address - Phone:312-649-5730
Mailing Address - Fax:
Practice Address - Street 1:1340 N ASTOR ST
Practice Address - Street 2:2907
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-2171
Practice Address - Country:US
Practice Address - Phone:312-649-5730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0003521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical