Healthcare Provider Details

I. General information

NPI: 1326006537
Provider Name (Legal Business Name): SYLVIA A PAWLIK RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14325 BLACKSTONE AVE
DOLTON IL
60419-1323
US

IV. Provider business mailing address

1643 NW 136TH AVE BLDG H
SUNRISE FL
33323-2857
US

V. Phone/Fax

Practice location:
  • Phone: 708-849-5000
  • Fax:
Mailing address:
  • Phone: 865-500-1317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209-004949
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0383922-21
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0385925-23
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209004949
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041-313313
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: