Individual
DANIELLE E SIEDSCHLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
25 N HARLEM AVE, FREEPORT, IL 61032-3801
(815) 599-7750
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4008
(815) 599-7958
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209007872
IL
Other
Enumeration date
11/11/2009
Last updated
10/26/2017
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