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NPI Code Detail

MEDICARE: MEGAN ROSE SILAS MD

MEDICARE: MEGAN ROSE SILAS 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
1207W00000XOphthalmology Physician25MA10813700NJ
2207WX0200XOphthalmic Plastic and Reconstructive Surgery Physician01094102AIN
3207W00000XOphthalmology Physician036.155958IL

General Provider Information

NPI Number : 1821450578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ROSE SILAS MD
Provider Business Mailing Address
First Line : 330 N JEFFERSON ST APT 1808
Second Line :
City : CHICAGO
State : IL
Zip : 60661-1214
Country : US
Telephone Number : 847-609-6336
Fax Number :
Provider Business Practice Location Address
First Line : 6850 HOHMAN AVE
Second Line :
City : HAMMOND
State : IN
Zip : 46324-1410
Country : US
Telephone Number : 219-931-7509
Fax Number : 219-937-5093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 01/15/2025

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