Provider Demographics
NPI:1588758494
Name:PANITCH, SILVIA Z (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:Z
Last Name:PANITCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SILVIA
Other - Middle Name:Z
Other - Last Name:VAINER-PANITCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7434 LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3830
Mailing Address - Country:US
Mailing Address - Phone:847-675-5231
Mailing Address - Fax:847-675-5231
Practice Address - Street 1:3344 N ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2109
Practice Address - Country:US
Practice Address - Phone:773-525-6595
Practice Address - Fax:773-525-6596
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D15247Medicare UPIN
IL560270Medicare ID - Type Unspecified