Healthcare Provider Details

I. General information

NPI: 1023233731
Provider Name (Legal Business Name): CARDIOVASCULAR ASSOCIATES OF GLENBROOK AND EVANSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 COMPASS RD SUITE 100
GLENVIEW IL
60026-8000
US

IV. Provider business mailing address

2501 COMPASS ROAD SUITE 100
GLENVIEW IL
60026
US

V. Phone/Fax

Practice location:
  • Phone: 847-869-1499
  • Fax: 847-901-5250
Mailing address:
  • Phone: 847-869-1499
  • Fax: 847-901-5250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. IRWIN M SILVERMAN
Title or Position: PARTNER
Credential: MD
Phone: 847-869-1499