Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID FIRESIDE, LCMT
Active Sole ProprietorSpecialist · DEERFIELD, IL
Registration Details
- NPI Number
- 1134526171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2014 (11.447779265361 yrs)
- Last Updated
- Nov 19, 2014
- License
-
227.009223 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 WILMOT RDDEERFIELD, IL, 600155145Browse IL providers · Browse ZIP 60015
- Phone
- 8475800002
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in DEERFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. MARC H BOFF | ATC, PT, DPT, CSCS | 1821065673 |
| DR. DEBORAH TERRY EHRLICH | MD | 1417960824 |
| DR. DAVID JOSEPH SUCHARSKI | DN | 1487752739 |
| ELLEN FIELD | DT | 1225166721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.