Richard J Siebert, M.D.,S,C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RICHARD J SIEBERT, M.D.,S,C.

Practice address

700 N Westmoreland Rd Ste B
Lake Forest, IL 60045-1672

Phone

(847) 234-8808

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard J Siebert, M.D.

Title

President

Phone

(847) 234-8808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Rudberg, MD MPH

  • Internal Medicine Physician
  • Lake Forest, IL
  • NPI 1295838647
  NPD (past)
• David Vigder, MD

  • Internal Medicine Physician
  • Lake Forest, IL
  • NPI 1780773994
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003022088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N WESTMORELAND RD STE B",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451672",
            "telephone_number": "847-234-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N WESTMORELAND RD STE B",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451672",
            "telephone_number": "847-234-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J SIEBERT, M.D.,S,C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-234-8808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4900663",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Reitz
• Cheryl Larayne Rennells-Lannoye, OT
• Kaitlin Repko
• Jason Rho, M.D.
• Jessica Rhodes, DPT
• Dathylia Yalixa Rivera, PHARMD
• Robert J Hartman MD SC
• Dennis Rogan
• William Temple Newing Rogers, ATC
• Brian C Rojek, DO

• Internal Medicine Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.