Provider Demographics
NPI:1487788618
Name:SILVA, MONICA M (DC)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:M
Last Name:SILVA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N LAKE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-2535
Mailing Address - Country:US
Mailing Address - Phone:630-844-4662
Mailing Address - Fax:630-844-4670
Practice Address - Street 1:900 N LAKE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-2535
Practice Address - Country:US
Practice Address - Phone:630-844-4662
Practice Address - Fax:630-844-4670
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208690319OtherPROVIDER TAXID
IL208690319OtherPROVIDER TAXID
ILV07993Medicare UPIN