Individual provider Active NPI

Laura Louise Semba, MD

  • Plastic Surgery Physician
  • Orland Park, IL
National Provider Identifier
1689745127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Practice address
14315 South 108TH Avenue
Suite 114
Orland Park, IL 60467-5701
Phone
(708) 873-1101
Fax
(708) 873-9909
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X IL Primary

Addresses

Primary practice location

14315 South 108TH Avenue
Suite 114
Orland Park, IL 60467-5701

Mailing address

14315 South 108TH Avenue
Suite 114
Orland Park, IL 60467-5701
Phone (708) 873-1101

Other identifiers 2

IdentifierTypeStateIssuer
01608167OtherILBCBS INS
4526301OtherILAETNA INS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036070853ILMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689745127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 SOUTH 108TH AVENUE",
            "address_2": "SUITE 114",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-873-1101",
            "fax_number": "708-873-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 SOUTH 108TH AVENUE",
            "address_2": "SUITE 114",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-873-1101",
            "fax_number": "708-873-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBA",
        "first_name": "LAURA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INS",
            "identifier": "01608167",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "4526301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.