# WILLIAM SYCHANGCO M.D. S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235361379
- **Authorized official:** DR. WILLIAM W. SYCHANGCO M.D. (PRESIDENT)
- **Authorized official phone:** (773) 772-5334

## Contact information

- **Practice address:** 1802 W CHICAGO AVE, CHICAGO, IL 60622-5512
- **Practice address phone:** (773) 772-5334
- **Practice address fax:** (773) 772-2947
- **Mailing address:** 1802 W CHICAGO AVE, CHICAGO, IL 60622-5512
- **Mailing address phone:** (773) 772-5334
- **Mailing address fax:** (773) 772-2947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036048417 | IL | Yes |

## Other

- **Enumeration date:** 08/21/2009
- **Last updated:** 08/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036048417 | — | IL |