DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CONSWAILA SYDNOR DAVIS LCPC

MEDICARE: CONSWAILA SYDNOR DAVIS LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor180.011360IL

General Provider Information

NPI Number : 1275040602
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSWAILA SYDNOR DAVIS LCPC
Provider Business Mailing Address
First Line : 6531 S INGLESIDE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-4203
Country : US
Telephone Number : 773-841-3112
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E 55TH STREET
Second Line : SUITE 301-B
City : CHICAGO
State : IL
Zip : 60615-5581
Country : US
Telephone Number : 773-841-3112
Fax Number : 773-841-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/08/2018

Similar Medicare Providers

1497608269 — MICHELLE BONIN
Practice Location Address:
1525 E 55TH ST STE 301
CHICAGO, IL
60615-5581
Practice Phone: 312-475-0212
Practice Fax:
1073920815 — RENEE RAAP MA, LCSW
Practice Location Address:
1525 E 55TH ST STE 301
CHICAGO, IL
60615-5581
Practice Phone: 312-475-0212
Practice Fax:
1215494059 — NATHAN THOMAS HERMAN
Practice Location Address:
1525 E 55TH ST STE 301
CHICAGO, IL
60615-5581
Practice Phone: 312-832-2155
Practice Fax:
1174409551 — OLIVIA JONES
Practice Location Address:
1525 E 55TH ST STE 301
CHICAGO, IL
60615-5581
Practice Phone: 773-493-3994
Practice Fax:
1972483196 — MELISSA M DI TERESA
Practice Location Address:
1525 E 55TH ST STE 301
CHICAGO, IL
60615-5581
Practice Phone: 312-203-2213
Practice Fax:
1396697769 — PROJECT BROTHERHOOD
Practice Location Address:
1510 E 55TH ST UNIT 15282
CHICAGO, IL
60615-2575
Practice Phone: 773-573-7295
Practice Fax:

Directions to “ CONSWAILA SYDNOR DAVIS LCPC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.