Individual
DR. GORDON J SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 E HURON ST, FL 1, CHICAGO, IL 60611-2887
(312) 988-7777
(312) 988-7838
Mailing address
3 E HURON ST, CHICAGO, IL 60611-2887
(312) 988-7777
(312) 988-7838
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
036053430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059430
—
IL
Enumeration date
06/15/2005
Last updated
01/31/2013
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