| Doctor Name: | DANIELLE E SIEDSCHLAG |
| NPI Number: | 1053648063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209007872 |
| Business Practice Address: | 25 N Harlem Ave Freeport, IL - 610323801 |
| Business Phone Number: | 8155997750 |
| Business Fax Number: | |
| Mailing Address: | 421 W Exchange St, Po Box 268 FREEPORT |
| State: | IL |
| Postal Code: | 610324008 |
| Phone Number: | 8155997958 |
| Fax Number: | |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 12/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 209007872 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |