NPIMap

Organization Active NPI

Carl M Silberman MD SC

  • Specialist
  • Des Plaines, IL
National Provider Identifier
1932258886
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036056039 Issued in IL
Legal business name
CARL M SILBERMAN MD SC
Practice address
1430 E Thacker St
Des Plaines, IL 60016-6460
Phone
(847) 803-6669
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl M Silberman, MD
Title
Owner
Phone
(847) 803-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036056039 IL Primary

Addresses

Primary practice location

1430 E Thacker St
Des Plaines, IL 60016-6460

Mailing address

PO Box 369
New Lenox, IL 60451-0369
Phone (815) 463-0098

Other identifiers 1

IdentifierTypeStateIssuer
036056039MedicaidIL

National Provider Directory

National Provider Directory

Locations

1430 E Thacker St
Des Plaines, IL 60016
Phone (847) 803-6669

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1932258886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604510369",
            "telephone_number": "815-463-0098",
            "fax_number": "815-462-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E THACKER ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166460",
            "telephone_number": "847-803-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL M SILBERMAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SILBERMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-803-6669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036056039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.