Provider Demographics
NPI:1871661686
Name:SILVER, KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5841 S MARYLAND AVE MC 3055
Mailing Address - Street 2:UNIVERSITY OF CHICAGO HOSPITALS & CLINICS
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637
Mailing Address - Country:US
Mailing Address - Phone:773-702-6487
Mailing Address - Fax:773-702-4786
Practice Address - Street 1:5841 S MARYLAND AVE MC 3055
Practice Address - Street 2:UNIVERSITY OF CHICAGO HOSPITALS & CLINICS
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637
Practice Address - Country:US
Practice Address - Phone:773-702-6487
Practice Address - Fax:773-702-4786
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2013-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-0946972080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
G55169Medicare UPIN