Provider Demographics
NPI:1871227140
Name:STRIVE MEDICAL VBE OF ILLINOIS PC
Entity type:Organization
Organization Name:STRIVE MEDICAL VBE OF ILLINOIS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CENTRAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-443-4852
Mailing Address - Street 1:1125 17TH ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2043
Mailing Address - Country:US
Mailing Address - Phone:773-920-2755
Mailing Address - Fax:
Practice Address - Street 1:8741 S GREENWOOD AVE STE 106-108
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-7061
Practice Address - Country:US
Practice Address - Phone:773-920-2755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center