Healthcare Provider Details

I. General information

NPI: 1356204531
Provider Name (Legal Business Name): SYLVIA PUDELKO DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 PASQUINELLI DR STE 204
WESTMONT IL
60559-1291
US

IV. Provider business mailing address

11 W BIRCHWOOD AVE
HINSDALE IL
60521-2804
US

V. Phone/Fax

Practice location:
  • Phone: 630-560-0136
  • Fax:
Mailing address:
  • Phone: 630-853-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070029669
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: