Active NPI
Solomon I Secemsky, MD
- Cardiovascular Disease Physician
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036058717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036058717 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiology Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Elgin Internal Medical Associates, S.C. | Past | 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.
-
- Cardiovascular Disease Physician
- Elgin, IL
- NPI 1346260619
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1265596720
-
- Infectious Disease Physician
- Elgin, IL
- NPI 1356353270
-
- Pulmonary Disease Physician
- Elgin, IL
- NPI 1659364941
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.