Provider Demographics
NPI:1457891756
Name:WASHINGTON, SYLVIA ELAINE (PHD,ND,MPH,LMT, HTCP)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:ELAINE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:PHD,ND,MPH,LMT, HTCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1N544 BOBOLINK DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2322
Mailing Address - Country:US
Mailing Address - Phone:630-896-8321
Mailing Address - Fax:
Practice Address - Street 1:1N544 BOB O LINK DR
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2322
Practice Address - Country:US
Practice Address - Phone:630-896-8321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-06
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.019525225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist