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Search › Illinois › Specialist

David Fireside, LCMT

NPI 1134526171 · on the registry since 2014 · sole proprietor

Practice

Address
108 Wilmot Rd
Deerfield, IL 60015
Phone
(847) 580-0002
Organisation at this address
Walgreen Co
Walgreen Co
Walgreens Holding Company
Walgreens Health Medical Group P.A.
Premise Health Of Illinois Medical, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois