Individual provider Active NPI

Julissa Syed

  • Doula
  • Chicago, IL
National Provider Identifier
1104725209
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
840 W Blackhawk St Apt 904
Chicago, IL 60642-2574
Phone
(312) 927-1258
NPI assigned
Nov 4, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

840 W Blackhawk St Apt 904
Chicago, IL 60642-2574

Mailing address

840 W Blackhawk St Apt 904
Chicago, IL 60642-2574

Other practice location 1

1950 W Roscoe St
Chicago, IL 60657-1030
Phone (877) 381-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1104725209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W BLACKHAWK ST APT 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W BLACKHAWK ST APT 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422574",
            "telephone_number": "312-927-1258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 W Roscoe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606571030",
            "country_code": "US",
            "telephone_number": "877-381-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "JULISSA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.