Provider Demographics
NPI:1174686893
Name:KARCIOGLU, AMANDA SILVER (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:SILVER
Last Name:KARCIOGLU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WAUKEGAN RD STE 700
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1614
Mailing Address - Country:US
Mailing Address - Phone:847-504-3300
Mailing Address - Fax:847-504-3305
Practice Address - Street 1:71 WAUKEGAN RD STE 700
Practice Address - Street 2:
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-1614
Practice Address - Country:US
Practice Address - Phone:847-504-3300
Practice Address - Fax:847-504-3305
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036144080207Y00000X
MA228957207Y00000X
NY260877207Y00000X
MA287793207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400052444Medicare Oscar/Certification