Basic Information
Provider Information
NPI: 1821061169
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ESCOBAR
FirstName: FRANCISCO
MiddleName: SILVEIRA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 640 W WASHINGTON ST
Address2:  
City: PITTSFIELD
State: IL
PostalCode: 623631350
CountryCode: US
TelephoneNumber: 2172852113
FaxNumber:  
Practice Location
Address1: 640 W WASHINGTON ST
Address2:  
City: PITTSFIELD
State: IL
PostalCode: 623631350
CountryCode: US
TelephoneNumber: 2172852113
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/08/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X36116673ILX Allopathic & Osteopathic PhysiciansSurgery 
208600000XMD034738EPAX Allopathic & Osteopathic PhysiciansSurgery 
204F00000X4301061978MIX Allopathic & Osteopathic PhysiciansTransplant Surgery 
204F00000X220685NYX Allopathic & Osteopathic PhysiciansTransplant Surgery 
204F00000X32617MNX Allopathic & Osteopathic PhysiciansTransplant Surgery 
208600000XMD22967ORX Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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