Provider Demographics
NPI:1548427180
Name:SILVA CHIROPRACTIC CLINIC PC
Entity Type:Organization
Organization Name:SILVA CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-844-4662
Mailing Address - Street 1:900 N LAKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-2535
Mailing Address - Country:US
Mailing Address - Phone:630-844-4662
Mailing Address - Fax:630-844-4670
Practice Address - Street 1:900 N LAKE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2535
Practice Address - Country:US
Practice Address - Phone:630-844-4662
Practice Address - Fax:630-844-4670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherPROVIDER TAXID