Individual
ROBERT J SILLEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1265 S LAKE PARK AVE, SUITE D, HOBART, IN 46342-5961
(219) 945-1538
(219) 945-0151
Mailing address
1265 S LAKE PARK AVE, SUITE D, HOBART, IN 46342-5961
(219) 945-1538
(219) 945-0151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004153
IN
225100000X
Physical Therapist
PT27361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093614
ANTHEM BCBS
IN
01
—
05004153A
BCBS ILLINOIS
IL
05
—
200216870
—
IN
Enumeration date
07/05/2006
Last updated
09/27/2012
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