Organization
DR SILVIA PANITCH LTD
Active
Other names
LAKEVIEW INTEGRATIVE MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
SILVIA PANITCH M.D. (PRESIDENT / MEDICAL DIRECTOR)
(773) 525-6595
Entity
Organization
Contact information
Practice address
3344 N ASHLAND AVE, CHICAGO, IL 60657-2109
(773) 525-6595
(773) 525-6596
Mailing address
7434 LOWELL AVE, SKOKIE, IL 60076-3830
(847) 675-5231
(847) 675-5231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036063863
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063863
—
IL
01
—
IL4050
MEDICARE PTAN
IL
Enumeration date
10/03/2006
Last updated
01/29/2015
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