Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125065917 | IL |
N | 111NI0900X | Internist | 125065917 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 036143675 | IL |
NPI | 1023423118 |
---|---|
Provider Name | Dr. Adam Jeffrey Silver |
First Address | Bannockburn, IL 60015-1885 |
Second Address | Bannockburn, IL 60015-1885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2014 |
Last Update Date | 25/08/2020 |