Individual provider Active NPI

Jennifer Elizabeth Sykstus

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1972288041
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085011430 Issued in IL
Practice address
5311 S Harlem Ave
Chicago, IL 60638-1006
Phone
(773) 586-0076
Fax
(773) 586-0052
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 085011430 IL Primary

Addresses

Primary practice location

5311 S Harlem Ave
Chicago, IL 60638-1006

Mailing address

5311 S Harlem Ave
Chicago, IL 60638-1006
Phone (773) 586-0076

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
085011430ILMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jennifer.sykstus.1@21417.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1972288041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 S HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381006",
            "telephone_number": "773-586-0076",
            "fax_number": "773-586-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 S HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381006",
            "telephone_number": "773-586-0076",
            "fax_number": "773-586-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKSTUS",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085011430",
            "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 Oct 25, 2025; 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.