Provider Demographics
NPI:1780687574
Name:GARWIN, SYLVIA F (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:F
Last Name:GARWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1105
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1105
Mailing Address - Country:US
Mailing Address - Phone:618-529-5611
Mailing Address - Fax:618-529-5651
Practice Address - Street 1:120 N ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-1450
Practice Address - Country:US
Practice Address - Phone:618-529-5611
Practice Address - Fax:618-529-5651
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036079404207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL046684OtherHEALTH ALLIANCE
IL03932010OtherBLUECROSS BLUESHIELD
IL128282OtherHEALTHLINK
ILP00027199OtherRAILROAD MEDICARE
IL205447Medicare PIN
IL03932010OtherBLUECROSS BLUESHIELD
IL214881Medicare Oscar/Certification