Individual
DR. RICARDO ANDRES SILLER DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 W JACKSON ST STE 206, CARBONDALE, IL 62901-1474
(618) 457-3006
(618) 457-3007
Mailing address
2929 CALIFORNIA PLZ APT 7123, OMAHA, NE 68131-1590
(956) 322-1401
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1558788539
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10061730
MEDICAL LICENSE
TX
Enumeration date
03/27/2014
Last updated
02/10/2025
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