Healthcare Provider Details

I. General information

NPI: 1003520099
Provider Name (Legal Business Name): SYDNEY GELB
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 N SHERIDAN RD APT 705
CHICAGO IL
60657-5970
US

IV. Provider business mailing address

2930 N SHERIDAN RD APT 705
CHICAGO IL
60657-5970
US

V. Phone/Fax

Practice location:
  • Phone: 847-714-3886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: