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Contact Information

SIEGFRED T CELIS
1820 OAK PARK DRIVE
CHAMPAIGN, IL61822
 Phone: 217-721-4420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SIEGFRED T CELIS · (Male)

NPI Number 1487129730
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2018
Last updated 10/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 057.003304
Hospital affiliation(s) Not Available
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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