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NPI Code Detail

MEDICARE: MRS. LORI SILVERBERG OTR

MEDICARE: MRS. LORI SILVERBERG OTR
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
1225XP0200XPediatric Occupational Therapist056-005333IL

General Provider Information

NPI Number : 1902955776
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI SILVERBERG OTR
Provider Business Mailing Address
First Line : 4619 N RAVENSWOOD AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4579
Country : US
Telephone Number : 773-263-6981
Fax Number : 773-352-7627
Provider Business Practice Location Address
First Line : 4619 N RAVENSWOOD AVE STE 300
Second Line : #1S
City : CHICAGO
State : IL
Zip : 60640-4579
Country : US
Telephone Number : 773-697-7333
Fax Number : 773-352-7627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 10/13/2025

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