Organization
ERLINDA B. SIWA M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERLINDA B SIWA M.D. (DOCTOR)
(773) 767-0606
Entity
Organization
Contact information
Practice address
4258 W 55TH ST, CHICAGO, IL 60632-4642
(773) 767-0606
(773) 767-1065
Mailing address
4258 W 55TH ST, CHICAGO, IL 60632-4642
(773) 767-0606
(773) 767-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3648108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20011616
—
IL
Enumeration date
11/30/2010
Last updated
11/30/2010
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