Healthcare Provider Details

I. General information

NPI: 1457285637
Provider Name (Legal Business Name): ALICJA KATARZYNA STRYCK PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 BURR RIDGE PWKY SUITE 223
BURR RIDGE IL
60527
US

IV. Provider business mailing address

9153 DEL PRADO DR APT 2S
PALOS HILLS IL
60465-5023
US

V. Phone/Fax

Practice location:
  • Phone: 630-749-7107
  • Fax:
Mailing address:
  • Phone: 708-620-9103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209035417
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: