Provider Demographics
NPI:1346408879
Name:SYFU, SHIRLEY G
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:G
Last Name:SYFU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 MANSFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-4300
Mailing Address - Country:US
Mailing Address - Phone:630-551-2688
Mailing Address - Fax:630-551-2688
Practice Address - Street 1:3705 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-2634
Practice Address - Country:US
Practice Address - Phone:847-392-2812
Practice Address - Fax:847-392-8939
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist