| NPI | 1063535656 |
|---|---|
| Former Legal Business Name | SIEBERT AND SIPES PODIATRY, PC |
| Entity Type | Organization |
| Authorized Contact | KELLY J SIEBERT Secretary 217-523-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 060.001013) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2017-03-20 |