Organization Active NPI

Coleman R Seskind MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1467510883
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3637930 Issued in IL
Legal business name
COLEMAN R SESKIND MD SC
Practice address
100 E Huron Street
Suite 1704
Chicago, IL 60611-5900
Phone
(312) 664-1666
Fax
(312) 664-6887
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mrs. Rhonda Cardona
Title
Manager
Phone
(312) 726-7595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 3637930 IL Primary

Addresses

Primary practice location

100 E Huron Street
Suite 1704
Chicago, IL 60611-5900

Mailing address

100 E Huron Street
Suite 1704
Chicago, IL 60611-5900
Phone (312) 664-1666

Other identifiers 2

IdentifierTypeStateIssuer
36037930MedicaidIL
1604975OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Coleman R Seskind MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1467510883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HURON STREET",
            "address_2": "SUITE 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115900",
            "telephone_number": "312-664-1666",
            "fax_number": "312-664-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HURON STREET",
            "address_2": "SUITE 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115900",
            "telephone_number": "312-664-1666",
            "fax_number": "312-664-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN R SESKIND MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-726-7595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "3637930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36037930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1604975",
            "state": "IL"
        }
    ],
    "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 Jul 16, 2007; 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.