Individual
SCOTT W SIEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7808 W COLLEGE DR, SUITE 3 SW, PALOS HEIGHTS, IL 60463-1027
(708) 671-1009
(708) 671-1109
Mailing address
7808 W COLLEGE DR STE 3SW, CHICAGOLAND RETINAL CONSULTANTS, PALOS HEIGHTS, IL 60463-1027
(708) 671-1009
(708) 671-1109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036102707
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2201714
BCBS
IL
05
—
36102707
—
IL
Enumeration date
06/08/2006
Last updated
12/09/2021
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