Provider Demographics
NPI:1790876522
Name:FOX, SILVIA SCHNEIDER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:SCHNEIDER
Last Name:FOX
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:378 PARK AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022-1586
Mailing Address - Country:US
Mailing Address - Phone:312-860-0057
Mailing Address - Fax:847-432-4842
Practice Address - Street 1:378 PARK AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:GLENCOE
Practice Address - State:IL
Practice Address - Zip Code:60022-1586
Practice Address - Country:US
Practice Address - Phone:312-860-0057
Practice Address - Fax:847-432-4842
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021-005124103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical