Individual
HARRY SIAVELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S YORK RD, SUITE 4220, ELMHURST, IL 60126-5626
(630) 758-8838
(630) 758-8846
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036091964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050266
RAILROAD MEDICARE
—
05
—
036091964
—
IL
Enumeration date
01/12/2006
Last updated
08/22/2023
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