NPIMap

Organization Active NPI

Seby S C

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1316254873
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SEBY S C
Doing business as
Seby S C
Practice address
10830 S Halsted St
Chicago, IL 60628-3126
Phone
(773) 785-8000
Fax
(312) 533-2818
NPI assigned
Sep 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Dr. Sebastian Joseph, MDNPI 1790004380
Title
President
Phone
(773) 785-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

10830 S Halsted St
Chicago, IL 60628-3126

Mailing address

P O Pox 3855
Carol Stream, IL 60132-3855
Phone (773) 785-8000

Other names 1

  • SEBY S C Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000125 IL Part B Supplier - Clinic/Group Practice 4486835139 Receives reassigned benefits from 5 practitioners
Practice locations: Hinsdale, IL; Harvey, IL; Downers Grove, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

PO Pox 3855
Carol Stream, IL 60132

4058 W Melrose St
Chicago, IL 60641
Phone (773) 267-2622

7906 S Crandon Ave
Ste 5
Chicago, IL 60617
Phone (773) 978-0757

10830 S Halsted St
Ste 3
Chicago, IL 60628

4115 Fairview Ave
Downers Grove, IL 60515
Phone (630) 968-1881

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1316254873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O POX 3855",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601323855",
            "telephone_number": "773-785-8000",
            "fax_number": "312-533-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283126",
            "telephone_number": "773-785-8000",
            "fax_number": "312-533-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBY S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-05",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-785-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEBY S C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEBY S C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.