MEDICARE: DR. SYLVIA DEEK DDS

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	1223G0001X	General Practice Dentistry	019029416	IL

General Provider Information

NPI Number	:	1417396946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYLVIA DEEK DDS

Provider Business Mailing Address
First Line	:	1128 S ELMHURST RD
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 S ELMHURST RD
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4241
Country	:	US
Telephone Number	:	847-228-5523
Fax Number	:

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

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	01/20/2025

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