Individual provider Active NPI

Solomon I Secemsky, MD

  • Cardiovascular Disease Physician
  • Elgin, IL
National Provider Identifier
1093786014
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036058717 Issued in IL
Practice address
1710 N Randall Rd
Ste 340
Elgin, IL 60123-9400
Phone
(847) 695-3168
Fax
(847) 695-4289
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036058717 IL Primary

Addresses

Primary practice location

1710 N Randall Rd
Ste 340
Elgin, IL 60123-9400

Mailing address

1710 N Randall Rd
Ste 340
Elgin, IL 60123-9400
Phone (847) 695-3168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036058717ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology Consultants LTD Cardiovascular Disease CurrentSince Jan 1, 1985 Accepting new patients
Elgin Internal Medical Associates, S.C. PastSince Jun 21, 2004 Accepting new patients
Germbusters, PC Past Accepting new patients
Pulmonary & Critical Care Medicine Specialists SC Past Accepting new patients

Locations

745 Fletcher Dr
Elgin, IL 60123
Phone (847) 695-6600

745 Fletcher Dr
Ste 101
Elgin, IL 60123
Phone (847) 695-3168

1710 N Randall Rd
Ste 340
Elgin, IL 60123
Phone (847) 695-3168

1435 N Randall Rd
Ste 202
Elgin, IL 60123
Phone (847) 695-3168

934 Center St
Elgin, IL 60120
Phone (847) 429-2932

901 Center St
Ste 2002
Elgin, IL 60120
Phone (847) 312-1301

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1093786014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "STE 340",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-695-3168",
            "fax_number": "847-695-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "STE 340",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-695-3168",
            "fax_number": "847-695-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECEMSKY",
        "first_name": "SOLOMON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036058717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.