Provider Demographics
NPI:1346132545
Name:SILMON, MEOSHI CAMILLE (CADC)
Entity type:Individual
Prefix:
First Name:MEOSHI
Middle Name:CAMILLE
Last Name:SILMON
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-2552
Mailing Address - Country:US
Mailing Address - Phone:708-299-3505
Mailing Address - Fax:
Practice Address - Street 1:1246 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-2552
Practice Address - Country:US
Practice Address - Phone:708-299-3505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL45104101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)