EILEEN DAVIDSON SIEGEL


Address: 2073 N. Clybourn Ave., Chicago, IL 60614
Phone: 7736654016

EILEEN DAVIDSON SIEGEL (NPI# 1245759653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245759653
Entity Type Individual
Full Name EILEEN DAVIDSON SIEGEL
Other Name EILEEN ANN DAVIDSON
Credential PA-C
Practice Address 2073 N. Clybourn Ave.
Chicago
IL 60614
Mailing Address 2073 N Clybourn Ave.
Chicago
IL 60614
Practice Telephone 7736654016
Practice Fax Number 7733606200
Mailing Telephone 7736654016
Mailing Fax Number 7733606200
Enumeration Date 2017-09-18
Last Update Date 2017-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085.006327 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2073 N. CLYBOURN AVE.
City CHICAGO
State IL
Zip Code 60614

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NPI Name Taxonomy Address Enumeration
1487266516 Taylor Connington Pharmacist 843 W Armitage Ave, Chicago, IL 60614 2020-08-19
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1457902975 Michele Waggoner Physical Therapist 2515 N. Clark St, Chicago, IL 60614 2019-09-25
1669031936 Justin Pomeroy Acupuncturist 1350 W. Schubert Ave., Chicago, IL 60614 2019-06-11
1801451547 Amanda Harris Counselor 2451 N Lincoln Ave # 206, Chicago, IL 60614 2019-05-08
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1841707353 Madison Counseling Solutions LLC Social Worker 2502 N. Clark St., Chicago, IL 60614 2018-01-05
1386154011 Allison Cooper Boyan Occupational Therapist 1640 N. Wells St., Unit 103, Chicago, IL 60614 2017-10-09
1447779814 Elizabeth Hobart Psychologist 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 2017-09-16
1710408935 Cherie A Laaperi Case Manager/Care Coordinator 1711 N. Cleveland Avenue, Chicago, IL 60614 2017-06-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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Competitor

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City CHICAGO
Zip Code 60614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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