Individual
DR. NICOLE FANYA SIPARSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.C.S.
Contact information
Practice address
1653 W CONGRESS PKWY # 785, CHICAGO, IL 60612-3833
(312) 942-6379
Mailing address
1653 W CONGRESS PKWY # 785, CHICAGO, IL 60612-3833
(312) 942-6379
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036135778
IL
2086S0102X
Surgical Critical Care Physician
Primary
036-135778
IL
2086S0127X
Trauma Surgery Physician
036-135778
IL
Other
Enumeration date
06/28/2007
Last updated
12/08/2020
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