Semel, Jeffery D.
Semel, Jeffery D. is an individual health care provider with primary practice located at 2650 Ridge Ave Burch 118, Evanston Hospital, Evanston IL 60201-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Semel, Jeffery D. can be contacted via phone (847) 570-1502.Contact Information
Primary practice address
2650 Ridge Ave Burch 118, Evanston Hospital
Evanston IL 60201-1718
Phone: (847) 570-1502
Fax: (847) 733-5331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036050151 | Illinois |
Profile Details
| NPI number | 1659367837 |
|---|---|
| LBN Legal business name | Semel, Jeffery D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Oct 13th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659367837 | NPPES |
| Illinois | Other | 4929938 | BCBS PROVIDER ID |
| Illinois | MEDICAID | 036050151 | BCBS PROVIDER ID |
| Illinois | Other | 440003493 | BCBS PROVIDER ID |
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