Dr. Nicole Fanya Siparsky, M.D., F.A.C.S.
Surgery, Surgical Critical Care in Chicago, IL. Individual provider (NPI-1).
NPI number1265639652
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1265639652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Fanya Siparsky
- Credential
- M.D., F.A.C.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2007
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 036-135778 | IL | Yes |
| 208600000X | Surgery | 036135778 | IL | |
| 2086S0127X | Surgery, Trauma Surgery | 036-135778 | IL |
Practice location
1653 W Congress Pkwy # 785Chicago, IL 60612-3833
Phone 312-942-6379
Mailing address
1653 W Congress Pkwy # 785Chicago, IL 60612-3833
Phone 312-942-6379
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