Individual
DR. ERLINDA B SIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4258 W 55TH ST, CHICAGO, IL 60632
(773) 767-0606
(773) 767-1065
Mailing address
4258 W 55TH ST, CHICAGO, IL 60632
(773) 767-0606
(773) 767-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036048108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048108
—
IL
Enumeration date
04/26/2006
Last updated
11/28/2009
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