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NPI 1215382288

NPI 1215382288 : DAVID FOSTER SIGMON MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1215382288
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID FOSTER SIGMON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2016
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    Last Update Date     |    11/10/2025
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Provider Practice Location Address
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    Address Line         |    1740 W TAYLOR ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-7232
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    Country              |    US
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    Telephone            |    866-600-2273
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1955 S FAIRWAY AVE 
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    City                 |    SPRINGFIELD
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    State                |    MO
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    Zip                  |    65804-2320
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    Country              |    US
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    Telephone            |    253-312-7470
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    323114
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    2086S0127X
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    Taxonomy Name        |    Trauma Surgery Physician
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    License Number       |    2024021995
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    License Number State |    MO
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