Provider Demographics
NPI:1801171566
Name:ENYI, SYLVANUS EZE (RPH)
Entity type:Individual
Prefix:MR
First Name:SYLVANUS
Middle Name:EZE
Last Name:ENYI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13435 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-1913
Mailing Address - Country:US
Mailing Address - Phone:630-730-8897
Mailing Address - Fax:815-230-3603
Practice Address - Street 1:1779 SEQUOIA RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6424
Practice Address - Country:US
Practice Address - Phone:630-416-8432
Practice Address - Fax:630-416-8756
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051037495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist