Tara Seider, APN-NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209011192 Issued in IL

Practice address

2707 W Ainslie St
Unit #3
Chicago, IL 60625-2715

Phone

(773) 343-6083

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lurie Children'S Medical Group, LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1215345442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W AINSLIE ST",
            "address_2": "UNIT #3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252715",
            "telephone_number": "773-343-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W AINSLIE ST",
            "address_2": "UNIT #3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252715",
            "telephone_number": "773-343-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDER",
        "first_name": "TARA",
        "credential": "APN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209011192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Seibold, LCSW
• Anne Maxwell Seiden, M.D.
• Jacob Alan Seidenberg, MD
• Justine Seidenfeld
• Brittany Seidensticker, MD
• Sarah Seidler, L.C.S.W.
• Dominika Seidman, MD
• Jessica Seidman, OTR/L
• Robyn Kaplan Seidman, LCSW
• Sheldon Seidman, DDS

• Pediatric Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.