Provider Demographics
NPI:1780764084
Name:JAMES-SILVA, MARIA SOCORRO (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:SOCORRO
Last Name:JAMES-SILVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:SOCORRO
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:855 E GOLF RD STE 2133
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5225
Mailing Address - Country:US
Mailing Address - Phone:847-290-9122
Mailing Address - Fax:847-290-9133
Practice Address - Street 1:2001 S CALIFORNIA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-2486
Practice Address - Country:US
Practice Address - Phone:773-584-6200
Practice Address - Fax:773-376-8845
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036092106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036092106Medicaid
IL036092106Medicaid