Siegel, Suzanne Donick

Siegel, Suzanne Donick is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Siegel, Suzanne Donick can be contacted via phone (847) 535-6150.

Contact Information

Primary practice address
1000 N Westmoreland Rd Lake Forest IL 60045-1658
Fax: (847) 535-7801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37868-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-093476 Illinois

Profile Details

NPI number 1891733549
LBN Legal business name Siegel, Suzanne Donick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 19th, 2022 - about 2 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 1891733549 NPPES
Illinois MEDICAID 278926842
Illinois MEDICAID 32328700
Illinois Other 930050422
Illinois Other 930062811
Illinois Other 930068395

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