Provider Demographics
NPI:1063509727
Name:SILBERT, MICHAEL LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:SILBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 W JACKSON BLVD
Mailing Address - Street 2:SUITE A20
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-2929
Mailing Address - Country:US
Mailing Address - Phone:312-939-3400
Mailing Address - Fax:312-939-4986
Practice Address - Street 1:141 W JACKSON BLVD
Practice Address - Street 2:SUITE A20
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-2929
Practice Address - Country:US
Practice Address - Phone:312-939-3400
Practice Address - Fax:312-939-4986
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042617698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor