Siebert Podiatry PC

Podiatrist · Springfield, IL

Organization Active NPI

NPI number 1063535656

Practice location

102 S Grand Ave W
Springfield, IL 62704-3806
Phone
(217) 523-4539

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NPI record

NPI
1063535656
Entity type
Organization (Type 2)
Enumeration date
April 9, 2007
Last updated
March 20, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X 060.001013 IL

Authorized official

Name
Kelly J Siebert
Title
Secretary
Phone
(217) 523-4539

Other names

  • Siebert and Sipes Podiatry, PC

About Siebert Podiatry PC

Siebert Podiatry PC is a healthcare organization registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 102 S Grand Ave W, Springfield, IL 62704-3806. The NPI number 1063535656 was assigned on April 9, 2007 and the record was last updated on March 20, 2017.

Siebert Podiatry PC lists a license in the registry: #060.001013 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kelly J Siebert, Secretary.

Frequently asked questions

What is the NPI number of Siebert Podiatry PC?

The NPI number is 1063535656.

What is the phone number of Siebert Podiatry PC?

The phone number listed for the practice location is (217) 523-4539.

Where is Siebert Podiatry PC located?

102 S Grand Ave W, Springfield, IL 62704-3806.

What is the taxonomy code for Siebert Podiatry PC?

The primary taxonomy code is 213E00000X – Podiatrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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