Active NPI
Joseph E Siegler, M.D.
- Specialist
- Chicago, IL
National Provider Identifier
1679678817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036084491
- Practice address
- 2750 N Racine Ave
Suite #1
Chicago, IL 60614-1206 - Phone
- (773) 529-1200
- Fax
- (773) 296-6131
- NPI assigned
- Sep 13, 2006
- Last updated
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036084491 | IL | Primary |
Addresses
Primary practice location
2750 N Racine Ave
Suite #1
Chicago, IL 60614-1206
Mailing address
2750 N Racine Ave
Suite #1
Chicago, IL 60614-1206
Phone (773) 529-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1627476 | Other | IL | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084491 | IL | MD | Specialist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Chicago, IL
- NPI 1619077385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1679678817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 N RACINE AVE",
"address_2": "SUITE #1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141206",
"telephone_number": "773-529-1200",
"fax_number": "773-296-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 N RACINE AVE",
"address_2": "SUITE #1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141206",
"telephone_number": "773-529-1200",
"fax_number": "773-296-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGLER",
"first_name": "JOSEPH",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036084491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "1627476",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.