Individual
DR. AVIELLE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-8990
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.164023
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125.073472
IL
208D00000X
General Practice Physician
295239
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/07/2017
Last updated
03/06/2026
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