Provider Demographics
NPI:1851494496
Name:SYGIEDA, WANDA F (DDS)
Entity type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:F
Last Name:SYGIEDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4954 W IRVING PARK
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60691
Mailing Address - Country:US
Mailing Address - Phone:773-286-7900
Mailing Address - Fax:847-934-0161
Practice Address - Street 1:4954 W IRVING PARK
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60691
Practice Address - Country:US
Practice Address - Phone:773-286-7900
Practice Address - Fax:847-934-0161
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist