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SIEBERT MOAZZAM P C
NPI 1396780292
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Peoria, IL

Active since June 17, 2006
401 MAIN STREET, SUITE 1200, PEORIA, IL 61602(309) 671-8749 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Siebert Moazzam P C NPPES

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

SIEBERT MOAZZAM P C (NPI 1396780292) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Peoria, Illinois and active in the NPI registry since June 2006. The organization lists Paul A Siebert, Owner, as its authorized official.

NPPES Registry Identity

NPI1396780292
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameSIEBERT MOAZZAM P C
Location Address401 MAIN STREET, SUITE 1200Peoria, IL 61602-1242
Mailing Address2205 State StPekin, IL 61554-3936 · (309) 353-1833
Phone(309) 671-8749
Organization SubpartNo
Authorized OfficialPaul A SiebertOwner · (309) 353-1833
Enumeration DateJune 17, 2006
Last NPPES UpdateApril 12, 2011
✔ NPI 1396780292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IL · 036101798
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
401 MAIN STREET, Peoria, IL 61602
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Other Identifiers 3

Medicare PINIL1881IL
Medicare ID-Type Unspecified368480IL · Medicare
Medicare ID-Type Unspecified206647IL · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Siebert Moazzam P C's NPI number?

The NPI number for Siebert Moazzam P C is 1396780292. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Siebert Moazzam P C located?

Siebert Moazzam P C is located at 401 Main Street Suite 1200, Peoria, IL 61602. The listed phone number is (309) 671-8749.

What is Siebert Moazzam P C's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Siebert Moazzam P C was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.