Healthcare Provider Details

I. General information

NPI: 1265387542
Provider Name (Legal Business Name): SYLVESTER UWUMAROGIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 RUSSELL DR
HOFFMAN ESTATES IL
60192-4583
US

IV. Provider business mailing address

1520 RUSSELL DR
HOFFMAN ESTATES IL
60192-4583
US

V. Phone/Fax

Practice location:
  • Phone: 973-289-3222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number00000001234
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: