IndividualActive
Eileen Ciccia, MD
NPI 1497013767 · Pediatric Nephrology Physician · Saint Louis, MO
Provider details
- NPI number
- 1497013767
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2019017048 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Childrens Pl
Div Ped Nephrology
Saint Louis, MO 63110-1002
Phone: (314) 454-6043
Fax: (888) 463-6898
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2025-04-17
- Certified
- 2023-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.