Healthcare Provider Details

I. General information

NPI: 1134118169
Provider Name (Legal Business Name): SYLVIA CHEN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 W TALCOTT AVE RESURRECTION MEDICAL CENTER - PHARMACY
CHICAGO IL
60631-3707
US

IV. Provider business mailing address

7435 W TALCOTT AVE
CHICAGO IL
60631-3707
US

V. Phone/Fax

Practice location:
  • Phone: 773-774-8000
  • Fax: 773-792-7949
Mailing address:
  • Phone: 773-774-8000
  • Fax: 773-792-7949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-288555
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number051-288555
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number051-288555
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number26021024A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26021024A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number26021024A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: