Healthcare Provider Details

I. General information

NPI: 1225722473
Provider Name (Legal Business Name): SILVIA GHOBRIAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ELM ST STE 103
HINSDALE IL
60521-3635
US

IV. Provider business mailing address

POB 7132960
CHICAGO IL
60677-1260
US

V. Phone/Fax

Practice location:
  • Phone: 630-789-8890
  • Fax: 630-789-8892
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-180941
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: