MEDICARE: SILVESTRE EYE CARE, P.C.

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	305R00000X	Preferred Provider Organization		IL
2	302R00000X	Health Maintenance Organization	046.009931	IL

General Provider Information

NPI Number	:	1902188741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVESTRE EYE CARE, P.C.

Provider Business Mailing Address
First Line	:	8661 N. ELMORE ST.
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-1910
Country	:	US
Telephone Number	:	847-701-5252
Fax Number	:	847-966-0578

Provider Business Practice Location Address
First Line	:	6023 W. BELMONT AVE.
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-5116
Country	:	US
Telephone Number	:	773-237-4332
Fax Number	:	773-237-5779

Authorized Official
Title or Position	:	OPTOMETRIST/PRESIDENT
Name	:	DR. MARY ELAINE HERNANDEZ SILVESTRE
Credential	:	O.D.
Telephone Number	:	847-701-5252

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	12/30/2024

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Directions to “SILVESTRE EYE CARE, P.C. ” Practice Location

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