Provider Demographics
NPI:1053815225
Name:SIGELKO, AUGUST DIDION (MD)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:DIDION
Last Name:SIGELKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5113 S KIMBARK AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3966
Mailing Address - Country:US
Mailing Address - Phone:608-698-1105
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE STE MC6076
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1626
Practice Address - Country:US
Practice Address - Phone:773-702-9660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036160895207RP1001X
MA287094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine