Healthcare Provider Details

I. General information

NPI: 1568773810
Provider Name (Legal Business Name): RHONDA L SYKES PMHNP-BC, APRN, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 INFANTRY DR STE F
JOLIET IL
60435-3109
US

IV. Provider business mailing address

1002 N 129TH INFANTRY DR STE F
JOLIET IL
60435-3109
US

V. Phone/Fax

Practice location:
  • Phone: 815-685-8864
  • Fax: 815-823-8460
Mailing address:
  • Phone: 815-685-8864
  • Fax: 815-823-8460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6370
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180003613
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209.025372
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: