Healthcare Provider Details

I. General information

NPI: 1134769482
Provider Name (Legal Business Name): KATHERINE SIEGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W RUSSELL ST
BARRINGTON IL
60010-4310
US

IV. Provider business mailing address

360 W ILLINOIS ST APT 311
CHICAGO IL
60654-5279
US

V. Phone/Fax

Practice location:
  • Phone: 847-899-5283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number144.000133
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: