Select Med Network

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

SELECT MED NETWORK

Practice address

901 N Quince LN
Mount Prospect, IL 60056-1501

Phone

(847) 687-9535

NPI assigned

May 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicky Chiakulas

Title

President

Phone

(847) 687-9535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1093453086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S ELMHURST RD UNIT 350",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600707912",
            "telephone_number": "847-687-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N QUINCE LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561501",
            "telephone_number": "847-687-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MED NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "CHIAKULAS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-687-9535"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Gordon Schwartz, D.D.S.
• Joseph M Schwartz
• Scott G Smoron DDS MSD LTD
• Search, Inc.
• Andreas Seidler, MD
• Select Retail LLC
• Clare Sente
• Michelle M Seo, MD
• Paulina Serowik, RD, LDN
• Jonathan Seyfert

• Corporate Health Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Corporate Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.