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Individual

DR. PHILIP EDWARD SIEFKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 RED BALL TRL, GREENVILLE, IL 62246-2781
(618) 664-1240
(618) 690-2189
Mailing address
PO BOX 372, MATTOON, IL 61938-0372

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036088335
IL
207R00000X
Internal Medicine Physician
036088335
IL
208000000X
Pediatrics Physician
Primary
036088335
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193400000X
TAXONOMYNCODE
IL
Enumeration date
05/23/2006
Last updated
01/07/2026
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