Active NPI
Alexandra Seguin
- Registered Nurse
- Chicago, IL
National Provider Identifier
1104613355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041436649
- Practice address
- 710 S Paulina St
Chicago, IL 60612-3808 - Phone
- (312) 942-3449
- NPI assigned
- Apr 22, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041436649 | IL | Primary |
Addresses
Primary practice location
710 S Paulina St
Chicago, IL 60612-3808
Mailing address
4512 W Berteau Ave
Chicago, IL 60641-1908
Phone (815) 263-4357
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041436649 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1104613355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 W BERTEAU AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411908",
"telephone_number": "815-263-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123808",
"telephone_number": "312-942-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGUIN",
"first_name": "ALEXANDRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041436649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.