MEDICARE: MS. SYLVIA A PAWLIK RN, CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	041-313313	IL
2	363LA2200X	Adult Health Nurse Practitioner	0383922-21	IL
3	363LG0600X	Gerontology Nurse Practitioner	0385925-23	IL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209004949	IL
5	363L00000X	Nurse Practitioner	209-004949	IL

General Provider Information

NPI Number	:	1326006537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA A PAWLIK RN, CNP

Provider Business Mailing Address
First Line	:	1643 NW 136TH AVE BLDG H
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33323-2857
Country	:	US
Telephone Number	:	865-500-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	14325 BLACKSTONE AVE
Second Line	:
City	:	DOLTON
State	:	IL
Zip	:	60419-1323
Country	:	US
Telephone Number	:	708-849-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	04/05/2023

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