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
Phone: (847) 535-6150
Fax: (847) 535-7801
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891733549 | NPPES |
Illinois | MEDICAID | 278926842 | |
Illinois | MEDICAID | 32328700 | |
Illinois | Other | 930050422 | |
Illinois | Other | 930062811 | |
Illinois | Other | 930068395 |
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