Provider Demographics
NPI:1356753982
Name:SAWICKA, JOANNA (DON)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SAWICKA
Suffix:
Gender:F
Credentials:DON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 N CUMBERLAND AVE
Mailing Address - Street 2:16Q
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-2903
Mailing Address - Country:US
Mailing Address - Phone:708-452-0159
Mailing Address - Fax:708-452-0159
Practice Address - Street 1:5050 N CUMBERLAND AVE
Practice Address - Street 2:16Q
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-2903
Practice Address - Country:US
Practice Address - Phone:708-452-0159
Practice Address - Fax:708-452-0159
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041407796163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health