Active NPI
Manuel Silverblatt, DPM
- Podiatrist
- Lincolnwood, IL
National Provider Identifier
1083829899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 162394
- Practice address
- 7355 N Kenneth Ave
Lincolnwood, IL 60712-1806 - Phone
- (773) 281-1691
- NPI assigned
- May 14, 2007
- Last updated
- Feb 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 162394 | IL | Primary |
Addresses
Primary practice location
7355 N Kenneth Ave
Lincolnwood, IL 60712-1806
Mailing address
7355 N Kenneth Ave
Lincolnwood, IL 60712-1806
Phone (773) 281-1691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016002394 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162394 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1083829899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7355 N KENNETH AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121806",
"telephone_number": "773-281-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7355 N KENNETH AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121806",
"telephone_number": "773-281-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERBLATT",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "162394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016002394",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.