Provider Demographics
NPI:1902445075
Name:SILVA, EILIANA M (LCPC)
Entity Type:Individual
Prefix:DR
First Name:EILIANA
Middle Name:M
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 N 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:STONE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60165-1145
Mailing Address - Country:US
Mailing Address - Phone:708-856-9905
Mailing Address - Fax:
Practice Address - Street 1:75 MARKET ST STE 12
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5061
Practice Address - Country:US
Practice Address - Phone:847-853-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011450101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional