Provider Demographics
NPI:1740712132
Name:SILVERIO, AMY LINDSEY (DO)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:LINDSEY
Last Name:SILVERIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 W DIVERSEY PKWY APT I
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1058
Mailing Address - Country:US
Mailing Address - Phone:401-573-0044
Mailing Address - Fax:
Practice Address - Street 1:4655 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-4216
Practice Address - Country:US
Practice Address - Phone:773-685-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036.152802208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program