Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 209.016173 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 209.016173 | IL |
N | 363LA2100X | Nurse Practitioner - Acute Care | 209.016173 | IL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 209.016173 | IL |
NPI | 1992227417 |
---|---|
Provider Name | Megan D Siegrist |
First Address | Springfield, IL 62701-1034 |
Second Address | Springfield, IL 62701-1034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2017 |
Last Update Date | 20/12/2021 |