MEDICARE: DR. IRENE SILVA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036061415	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114910692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE SILVA MD

Provider Business Mailing Address
First Line	:	539 N DEARBORN
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654
Country	:	US
Telephone Number	:	312-549-4400
Fax Number	:	312-549-4401

Provider Business Practice Location Address
First Line	:	539 N DEARBORN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4812
Country	:	US
Telephone Number	:	312-549-4400
Fax Number	:	312-549-4401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	07/21/2022

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Directions to “ DR. IRENE SILVA MD” Practice Location

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