Senegal Enterprises Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.001596 Issued in IL

Legal business name

SENEGAL ENTERPRISES MEDICAL, INC

Doing business as

SE Medical Inc

Practice address

3330 181St Place, Suite 103
Lansing, IL 60438

Phone

(563) 340-1602

Fax

(708) 757-3692

NPI assigned

Oct 8, 2013

Last updated

May 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

MJ J Senegal, MBA

Title

Ceo

Phone

(563) 340-1602

Specialties & licenses 1

Addresses

Other names 1

• SE Medical Inc Doing business as

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1275960130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3342 BRAMANTI TRL",
            "city": "STEGER",
            "state": "IL",
            "postal_code": "604756113",
            "telephone_number": "563-340-1602",
            "fax_number": "708-757-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 181ST PLACE, SUITE 103",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "60438",
            "telephone_number": "563-340-1602",
            "fax_number": "708-757-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENEGAL ENTERPRISES MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "SENEGAL",
        "authorized_official_first_name": "MJ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-340-1602",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.001596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SE Medical Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Alexander Sangueza
• Delicia Artise Santana, MS COUNSELING
• Jeffery R Sarbieski, DDS
• Sage Madison Sasso, PA-C
• Laurey Lizabeth Schillman, O.D.
• Latoya Sevier, LPC
• Shallise D Shannon
• Maria-Paz Salazar Shariff, RN, CRNA, MS
• Eileen M Sheridan
• Luis Angel Sida Solis

• Durable Medical Equipment & Medical Supplies in Lansing, IL
• Providers in Lansing, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.