Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Fireside, LCMT

Individual provider Specialist · NPI 1134526171

David Fireside, LCMT is a Specialist in Deerfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

108 Wilmot Rd
Deerfield, IL 60015-5145
Phone: (847) 580-0002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 227.009223 (IL)

Record details

NPI number1134526171
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMT
Sole proprietorYes
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 19, 2014
Mailing address1244 Taylor Ave, Highland Park, IL 60035-2360

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