Provider Demographics
NPI:1063548816
Name:SILVERMAN, RAYMOND MAYER (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:MAYER
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1770 1ST ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3200
Mailing Address - Country:US
Mailing Address - Phone:847-433-6520
Mailing Address - Fax:847-433-9045
Practice Address - Street 1:1770 1ST ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3200
Practice Address - Country:US
Practice Address - Phone:847-433-6520
Practice Address - Fax:847-433-9045
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360450162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202986Medicare PIN
ILD10195Medicare UPIN