Provider Demographics
NPI:1902955776
Name:SILVERBERG, LORI (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 N LAPORTE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-1530
Mailing Address - Country:US
Mailing Address - Phone:773-263-6981
Mailing Address - Fax:855-502-8892
Practice Address - Street 1:4027 N FRANCISCO AVE
Practice Address - Street 2:#1S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-2601
Practice Address - Country:US
Practice Address - Phone:773-293-6600
Practice Address - Fax:773-293-6600
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-005333225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics