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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH SYKSTUS

MEDICARE: JENNIFER ELIZABETH SYKSTUS
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
1363AM0700XMedical Physician Assistant085011430IL

General Provider Information

NPI Number : 1972288041
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH SYKSTUS
Provider Business Mailing Address
First Line : 5311 S HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1006
Country : US
Telephone Number : 773-586-0076
Fax Number : 773-586-0052
Provider Business Practice Location Address
First Line : 5311 S HARLEM AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-1006
Country : US
Telephone Number : 773-586-0076
Fax Number : 773-586-0052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2023
Last Update Date : 10/25/2025

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Directions to “ JENNIFER ELIZABETH SYKSTUS ” Practice Location

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