Provider Demographics
NPI:1619994795
Name:SYLORA, HERME O (MD)
Entity type:Individual
Prefix:
First Name:HERME
Middle Name:O
Last Name:SYLORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10400 SOUTHWEST HWY
Mailing Address - Street 2:LL
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415-1367
Mailing Address - Country:US
Mailing Address - Phone:708-581-7308
Mailing Address - Fax:708-274-4027
Practice Address - Street 1:2850 W 95TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2735
Practice Address - Country:US
Practice Address - Phone:708-422-2242
Practice Address - Fax:708-422-2270
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2010-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036046362208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036046362Medicaid
IL036046362Medicaid
211475Medicare PIN
IL366280Medicare ID - Type Unspecified