Most Relevant Information
Provider Data
NPI Number: | 1003234170 |
Provider Name: | KATHRYN JULIA SIEGEL PT, DPT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | 070020609 |
Most Important Dates
Enumeration Date: | 04/04/2014 |
Last Updated: | 07/19/2017 |
Provider Practice Location
2506 N CLARK ST # 158
CHICAGO
IL
606141848
Practice Location Phone/Fax
Phone: | 3124010975 |
Fax: |
Provider Mailing Location
1121 W OAKDALE AVE APT 2A
CHICAGO
IL
606574368
Provider Mailing Phone/Fax
Phone: | 2488948789 |
Fax: |