Individual
DR. JAMES J SIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 CRAWFORD AVE, SUITE 1276, OLYMPIA FIELDS, IL 60461-1010
(708) 679-2270
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036137110
IL
208800000X
Urology Physician
Primary
036-137110
IL
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400197142
MEDICARE PTAN
IL
01
—
F400228923
MEDICARE PTAN
IL
Enumeration date
04/15/2010
Last updated
03/20/2021
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