SIMEON A SEVANDAL MD NPI 1528052735

NPI Information

NPI: 1528052735
Provider Name: SIMEON A SEVANDAL, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
3339 W 55TH ST
CHICAGO, IL
ZIP 60632
Phone: (773) 471-3600
Get Directions

Simeon A Sevandal, MD is a geriatric medicine internal medicine in Chicago, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Simeon A Sevandal, MD NPI is 1528052735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3339 W 55TH ST
CHICAGO, IL
ZIP 60632
Phone: (773) 471-3600
Fax: (773) 471-3602

The enumeration date for this NPI number is 9/1/2005 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	3654903	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D14609	MEDICARE UPIN	ILLINOIS
2	3654903	MEDICAID	ILLINOIS
3	670121	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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