DAVID FIRESIDE LCMT
NPI 1134526171
Specialist in Deerfield, IL

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since November 19, 2014

108 WILMOT RD, DEERFIELD, IL 60015(847) 580-0002 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About David Fireside Lcmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID FIRESIDE LCMT (NPI 1134526171) is an individual specialist in Deerfield, Illinois, licensed in Illinois (227.009223) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1134526171

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDAVID FIRESIDECredential: LCMT

Location Address108 WILMOT RDDeerfield, IL 60015-5145

Mailing Address1244 Taylor AveHighland Park, IL 60035-2360 · (773) 805-3473

Phone(847) 580-0002

Sole ProprietorYes

Enumeration DateNovember 19, 2014

✔ NPI 1134526171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 227.009223

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.

108 WILMOT RD, Deerfield, IL 60015

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