MEDICARE: MARIA VICTORIA SILVEIRA GALBAN 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	208000000X	Pediatrics Physician	036.118036	IL

General Provider Information

NPI Number	:	1821287657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA VICTORIA SILVEIRA GALBAN MD

Provider Business Mailing Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-665-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 N COMMONWEALTH AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6211
Country	:	US
Telephone Number	:	773-665-3080
Fax Number	:

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

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	04/13/2021

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