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David Fireside, LCMT
Specialist in Deerfield, Illinois
NPI 1134526171

David Fireside is a Specialist based in Highland Park, IL. David Fireside practices in Deerfield, IL and has the professional credentials of LCMT. The NPI Number for David Fireside is 1134526171 and holds a License No. 227.009223 (Illinois).

The current practice location address for David Fireside is 108 Wilmot Rd, Deerfield, IL and can be reached out via phone at 847-580-0002.

Location: 108 Wilmot Rd, Deerfield, IL, 60035-2360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134526171
Provider Name
David Fireside
Credential
LCMT
Provider Entity Type
Individual
Gender
Male
Address
108 Wilmot Rd, Deerfield, IL, 60035-2360
Phone Number
847-580-0002
Fax Number
Provider Enumeration Date
11/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Wilmot Rd
City
Deerfield
State
Illinois
Zip
60015-5145
Phone Number
847-580-0002
Fax Number
person
Provider Business Mailing Address Details
Address
108 Wilmot Rd
City
Deerfield
State
Illinois
Zip
60015-5145
Phone Number
847-580-0002
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
227.009223 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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