Provider Demographics
NPI:1891801338
Name:SILBERBERG, MICHAEL BRETT (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BRETT
Last Name:SILBERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 WINFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-4018
Mailing Address - Country:US
Mailing Address - Phone:630-836-8724
Mailing Address - Fax:866-594-9002
Practice Address - Street 1:601 HAWAII ST
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-4814
Practice Address - Country:US
Practice Address - Phone:253-680-8062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG75934207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery