Active NPI
Allen M Siegel, MD
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1689790271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3640540
- Practice address
- 111 N Wabash Ave
Suite 1734
Chicago, IL 60602-1903 - Phone
- (312) 422-0233
- Fax
- (847) 446-0508
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 3640540 | IL | |
| Psychiatry Physician | 2084P0800X | 3640540 | IL | Primary |
Addresses
Primary practice location
111 N Wabash Ave
Suite 1734
Chicago, IL 60602-1903
Mailing address
843 Bryant Avenue
Winnetka, IL 60093-1903
Phone (847) 446-7248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 13, 2016 through May 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3640540 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen M Siegel MD PC | Psychoanalysis | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1689790271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 BRYANT AVENUE",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931903",
"telephone_number": "847-446-7248",
"fax_number": "847-446-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1734",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-422-0233",
"fax_number": "847-446-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "ALLEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "IL",
"license": "3640540",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "3640540",
"primary": true
}
],
"identifiers": [],
"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 Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.