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General NPI Number Information
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NPI Number | 1093902124
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Entity Type | Individual
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Provider Name | JOHN W SYKES JR. LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1525 E. 53RD RD SUITE 401
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City | CHICAGO
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State | IL
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Zip | 60615-4530
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Country | US
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Telephone | 773-746-0026
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Fax | 773-966-4469
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Provider Business Mailing Address
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Address Line | 7647 S. CLYDE AVENUE
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City | CHICAGO
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State | IL
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Zip | 60649-4130
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Country | US
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Telephone | 773-746-2317
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Fax | 773-966-4469
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149009748
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License Number State | IL
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