Individual
PAUL A SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MAIN ST, SUITE 300, PEORIA, IL 61606-1907
(309) 495-0200
(309) 353-4380
Mailing address
600 S 13TH ST, STE M, PEKIN, IL 61554-4936
(309) 353-0765
(309) 353-0472
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036090618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090618
—
IL
Enumeration date
07/31/2006
Last updated
02/06/2017
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