Individual provider Active NPI

Sylwia Nowak, M.D.

  • Allergy & Immunology Physician
  • Peoria, IL
National Provider Identifier
1871948059
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036.148706 Issued in IL
Practice address
8600 State Route 91 Ste 330
Peoria, IL 61615-7835
Phone
(309) 308-2010
Fax
(309) 308-2029
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036.148706 IL
Pediatrics Physician 208000000X 036.148706 IL
Allergy & Immunology Physician 207K00000X 036.148706 IL Primary

Addresses

Primary practice location

8600 State Route 91 Ste 330
Peoria, IL 61615-7835

Mailing address

8600 State Route 91 Ste 330
Peoria, IL 61615-7835
Phone (309) 308-2010

Other practice location 1

389 S Schmale Rd
Carol Stream, IL 60188-2756
Phone (630) 668-9610

Other practice location 2

2210 Dean St Ste M
St Charles, IL 60175-1059
Phone (630) 668-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210823002849 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 5092049569 Reassigns benefits to 1 organization
I20240126002180 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 5092049569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.148706ILMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California - UCSF CurrentSince Aug 12, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 28, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Elgin Gastroenterology SC PastSince Nov 8, 2023 Accepting new patients
Advocate Sherman Hospital Past Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

450 Sutter St
Rm 933
San Francisco, CA 94108

2100 Webster St
Ste 202
San Francisco, CA 94115
Phone (415) 749-5779

899 Northgate Dr
Ste 110
San Rafael, CA 94903
Phone (415) 684-8452

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 330
Peoria, IL 61615
Phone (309) 308-2010

Interoperability endpoints

  • Direct secure messaging: snowak197386@direct-ucsfmedicalcenter.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1871948059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 STATE ROUTE 91 STE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157835",
            "telephone_number": "309-308-2010",
            "fax_number": "309-308-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 STATE ROUTE 91 STE 330",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157835",
            "telephone_number": "309-308-2010",
            "fax_number": "309-308-2029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 S Schmale Rd",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882756",
            "country_code": "US",
            "telephone_number": "630-668-9610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 Dean St Ste M",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601751059",
            "country_code": "US",
            "telephone_number": "630-668-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "SYLWIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.148706",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.148706",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036.148706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.