Individual
DR. JOSEPH SIEVE DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST FL 14, CHICAGO, IL 60611-2951
(312) 926-2000
Mailing address
676 N SAINT CLAIR ST STE 14TH, CHICAGO, IL 60611-2927
(513) 609-6660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036146227
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036146227
IL
207RP1001X
Pulmonary Disease Physician
Primary
036146227
IL
Other
Enumeration date
06/10/2015
Last updated
05/05/2021
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