Sycamore Nursing Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4000365 Issued in IL

Legal business name

SYCAMORE NURSING AGENCY

Practice address

2970 Maria Ave Ste 102a
Northbrook, IL 60062-2023

Phone

(847) 770-6358

Fax

(224) 538-3038

NPI assigned

Dec 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ladele Yussuff

Title

Agency Manager

Phone

(847) 668-3923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sycamore Nursing LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1053680165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 MARIA AVE STE 102A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622023",
            "telephone_number": "847-770-6358",
            "fax_number": "224-538-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 MARIA AVE STE 102A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622023",
            "telephone_number": "847-770-6358",
            "fax_number": "224-538-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "YUSSUFF",
        "authorized_official_first_name": "LADELE",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "847-668-3923",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "4000365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "4000635",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Nursing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edie Sue Sutker, LCSW
• Lukas A. Suveg, AU.D.
• John Edward Swank III
• Iliana Elias Sweis, M.D.
• Katherine N Swift, RPH CGP
• Tahira Fatima Syed
• Eun N Syn, M.D.
• Domonkos Szabo
• Anna Maria Szczepaniak
• Logan Szilagyi

• Home Health Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.