Provider Demographics
NPI:1295720159
Name:SELIGMAN, ILANA (MD)
Entity type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:SELIGMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:490 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2611
Mailing Address - Country:US
Mailing Address - Phone:847-446-1993
Mailing Address - Fax:847-446-4022
Practice Address - Street 1:L000 CENTRAL ST.
Practice Address - Street 2:ENH ENT SUITE 610
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201
Practice Address - Country:US
Practice Address - Phone:847-570-1360
Practice Address - Fax:847-733-5360
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD16495Medicare UPIN