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DAVID FIRESIDE LCMT
NPI 1134526171
Specialist in Deerfield, IL

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: August 16, 2026.

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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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMISE HEALTH OF ILLINOIS MEDICAL, PC
Clinic/Center (Primary Care)
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 580-0002
JOSEPH ROSELLI JR.
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 999-2655
DR. SASHIDARAN MANIKUM MOODLEY MD
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (312) 982-1242
WALGREEN CO
Pharmacy
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 914-3154
KARI COLEMAN PHARMD
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 825-5467
MARY LOU SANCHEZ RPH
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 345-1036
WALGREENS HEALTH MEDICAL GROUP P.A.
Clinic/Center
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (866) 740-7221
MITUL DESAI
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 580-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Fireside's NPI number?

The NPI number for David Fireside is 1134526171. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is David Fireside located?

David Fireside practices at 108 Wilmot Rd, Deerfield, IL 60015. The listed phone number is (847) 580-0002.

What is David Fireside's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for David Fireside was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.