Provider Demographics
NPI:1720033269
Name:SILVER, RONALD (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4433 W TOUHY AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1820
Mailing Address - Country:US
Mailing Address - Phone:847-676-5979
Mailing Address - Fax:847-676-1233
Practice Address - Street 1:4433 W TOUHY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1820
Practice Address - Country:US
Practice Address - Phone:847-676-5979
Practice Address - Fax:847-676-1233
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-061876207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL8132Medicare UPIN
ILK31863Medicare PIN
ILK31862Medicare PIN