Organization
ERLINDA B. SIWA M.D.; SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERLINDA B SIWA M.D. (M.D.)
(773) 767-0606
Entity
Organization
Contact information
Practice address
4254 W 55TH ST, CHICAGO, IL 60632-4642
(773) 767-0606
(773) 767-1065
Mailing address
4254 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
036048108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048108
—
IL
Enumeration date
05/16/2008
Last updated
05/16/2008
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