Healthcare Provider Details

I. General information

NPI: 1427281336
Provider Name (Legal Business Name): JOHN JOSEPH STRYKER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5537 N BROADWAY ST
CHICAGO IL
60640-1405
US

IV. Provider business mailing address

5537 N BROADWAY ST
CHICAGO IL
60640-1405
US

V. Phone/Fax

Practice location:
  • Phone: 737-989-9400
  • Fax: 773-754-0260
Mailing address:
  • Phone: 773-989-9400
  • Fax: 773-754-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209-007857
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209005950
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: