1447491246 NPI number — KIRSTIN LEACH SIEGLER LCSW

Table of content: KIRSTIN LEACH SIEGLER LCSW (NPI 1447491246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447491246 NPI number — KIRSTIN LEACH SIEGLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIEGLER
Provider First Name:
KIRSTIN
Provider Middle Name:
LEACH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447491246
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2330 W ARMITAGE AVE
Provider Second Line Business Mailing Address:
UNIT G
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60647-4359
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-910-6622
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2330 W ARMITAGE AVE
Provider Second Line Business Practice Location Address:
UNIT G
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60647-4359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-910-6622
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)