MEDICARE: DR. JUDITH DAWN SILVER DN

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	172P00000X	Naprapath	18100183	IL

General Provider Information

NPI Number	:	1952661050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH DAWN SILVER DN

Provider Business Mailing Address
First Line	:	2919 W BALMORAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3901
Country	:	US
Telephone Number	:	773-271-2792
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 W BALMORAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3901
Country	:	US
Telephone Number	:	773-271-2792
Fax Number	:

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

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	05/22/2012

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