DR. JAMES J SIEGERT (NPI# 1245556224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245556224 |
| Entity Type | Individual |
| Full Name | DR. JAMES J SIEGERT |
| Credential | D.O. |
| Practice Address |
20201 Crawford Ave Suite 1276 Olympia Fields IL 60461-1010 |
| Mailing Address |
833 S Kearsage Ave Elmhurst IL 60126-4454 |
| Practice Telephone | 7086792270 |
| Mailing Telephone | 7086792270 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036137110 | IL | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 036-137110 | IL | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | F400228923 | 01 |
| IL | MEDICARE PTAN | F400197142 | 01 |
| Street Address |
20201 CRAWFORD AVE SUITE 1276 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021266 | Alverno Lakeside Corporation | Ambulance | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2005-05-23 |
| 1962011304 | Maura Ganser | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-30 |
| 1295344802 | Rebekah Stanish | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-29 |
| 1699398115 | Alexander Eric Urban | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-19 |
| 1083236038 | Rushiv Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-13 |
| 1922620038 | Mateusz Dawid Gorecki | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-05-12 |
| 1790304228 | Natalya Mezenina | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-14 |
| 1306465471 | Garrett Kawashima | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-09 |
| 1013536267 | Adnan Manzoor | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
| 1659900819 | Nicholas John Zanghi | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811048812 | Anthony M Grimaldi | Urology | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 | 2007-01-16 |
| 1124086012 | Shahrokh N Kayhan | Urology | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
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| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.