Provider Demographics
NPI:1881977239
Name:SILVA, HANA IGLESIAS (RPT)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:IGLESIAS
Last Name:SILVA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 GOLDENHILL ST
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-1303
Mailing Address - Country:US
Mailing Address - Phone:847-707-0622
Mailing Address - Fax:
Practice Address - Street 1:158 GOLDENHILL ST
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-1303
Practice Address - Country:US
Practice Address - Phone:847-707-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018755225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist