Doctor Name: | SUSAN SIGLER |
NPI Number: | 1063885101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | F1015598 |
Business Practice Address: | 2007 1st St Eldorado, IL - 629302105 |
Business Phone Number: | 6189266167 |
Business Fax Number: | |
Mailing Address: | 1400 W Main St, CARMI |
State: | IL |
Postal Code: | 628211387 |
Phone Number: | 6183824181 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F1015598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |