Healthcare Provider Details

I. General information

NPI: 1083951131
Provider Name (Legal Business Name): EYMARD SILVA DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 W ADDISON ST SUITE 206
CHICAGO IL
60634-4401
US

IV. Provider business mailing address

5600 W ADDISON ST SUITE 206
CHICAGO IL
60634-4401
US

V. Phone/Fax

Practice location:
  • Phone: 773-481-6647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: EYMARD SILVA
Title or Position: PRESIDENT
Credential:
Phone: 773-481-6647