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Contact Information

GORDON J SIEGEL, MD
3 E HURON ST
FL 1
CHICAGO, IL60611-2887
 Phone: 312-988-7777
 Fax: 312-988-7838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GORDON J SIEGEL · (Male)

NPI # 1982609103
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2005
Last updated 01/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036053430
  • IL Medicaid 036059430
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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