Individual
EDGARDO SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 N CICERO AVE, CHICAGO, IL 60641-1651
(773) 794-1000
Mailing address
500 E BENTON ST, JOLIET, IL 60432-2404
(815) 999-1929
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16007849
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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