Sevandal, Simeon A

Sevandal, Simeon A is an individual health care provider with primary practice located at 3339 W 55Th St , Chicago IL 60632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Sevandal, Simeon A can be contacted via phone (773) 471-3600.

Contact Information

Primary practice address
3339 W 55Th St Chicago IL 60632
Phone: (773) 471-3600
Fax: (773) 471-3602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 3654903 Illinois

Profile Details

NPI number 1528052735
LBN Legal business name Sevandal, Simeon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 30th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528052735 NPPES
Illinois MEDICAID 3654903

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