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NPI Code Detail

MEDICARE: DR. EMILY SIFFERMANN M.D.

MEDICARE:  DR. EMILY  SIFFERMANN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician036110345IL

General Provider Information

NPI Number : 1699792366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY SIFFERMANN M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 1240 S DAMEN AVE
Second Line : CHICAGO CHILDREN'S ADVOCACY CENTER MEDICAL DEPARTMENT
City : CHICAGO
State : IL
Zip : 60608-1122
Country : US
Telephone Number : 312-492-3862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 05/02/2022

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Directions to “ DR. EMILY SIFFERMANN M.D.” Practice Location

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