Provider Demographics
NPI:1093902124
Name:SYKES, JOHN W JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:SYKES
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7647 S. CLYDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-4130
Mailing Address - Country:US
Mailing Address - Phone:773-746-2317
Mailing Address - Fax:773-966-4469
Practice Address - Street 1:1525 E. 53RD RD
Practice Address - Street 2:SUITE 401
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4530
Practice Address - Country:US
Practice Address - Phone:773-746-0026
Practice Address - Fax:773-966-4469
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490097481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL423875Medicaid