Siegel, Barry P

Siegel, Barry P is an individual health care provider with primary practice located at 1926 W Irving Park Rd , Chicago IL 60613-2408. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siegel, Barry P can be contacted via phone (773) 525-0952.

Contact Information

Primary practice address
1926 W Irving Park Rd Chicago IL 60613-2408
Phone: (773) 525-0952
Fax: (773) 525-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-006370 Illinois

Profile Details

NPI number 1639177694
LBN Legal business name Siegel, Barry P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639177694 NPPES
Other 00105852285 AETNA
MEDICAID 046-006370 AETNA
Other 206874 AETNA
Other 363727344 AETNA

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