Provider Demographics
NPI:1407973530
Name:ALLEN M SIEGEL MD PC
Entity Type:Organization
Organization Name:ALLEN M SIEGEL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-446-2424
Mailing Address - Street 1:843 BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-1903
Mailing Address - Country:US
Mailing Address - Phone:847-446-2424
Mailing Address - Fax:847-446-2424
Practice Address - Street 1:122 SOUTH MICHIGAN AVE
Practice Address - Street 2:1301B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6107
Practice Address - Country:US
Practice Address - Phone:312-583-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty