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Active NPI 1134526171 Individual Practitioner Male Practitioner

David Fireside , LCMT

Specialist • Deerfield, IL

Professional Overview & Biography Verified Profile Summary

David Fireside, LCMT is a registered healthcare professional specializing in Specialist in Deerfield, IL. Practice services are available at 108 WILMOT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Wilmot Rd

Deerfield, IL 600155145

Telephone 8475800002
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1194870824

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Deerfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Deerfield, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 227.009223

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Mitul Desai

Internal Medicine

NPI 1437118361
Dr. George Patton , MD

Internal Medicine

NPI 1891958112

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2014

Registered at 108 WILMOT RD, DEERFIELD, IL 600155145 (Tel: 8475800002)

📍
Updated Business Mailing Address November 19, 2014

Registered at 1244 TAYLOR AVE, HIGHLAND PARK, IL 600352360 (Tel: 7738053473)

👤
Provider Name / Credentials Updated November 19, 2014

Recorded as DAVID FIRESIDE, LCMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2014

Specialist (License #227.009223 in IL)

🟢
Initial NPI Registration & Enumeration November 19, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134526171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2014
Last Update: November 19, 2014
Sole Proprietor: Yes

Mailing Address

1244 Taylor Ave

Highland Park, IL 600352360

Phone: 7738053473

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.