Diversey Medical Center SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DIVERSEY MEDICAL CENTER SC

Practice address

2320 W Peterson Avenue
Chicago, IL 60659-5242

Phone

(773) 508-9800

Fax

(773) 508-1796

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Aref Senno, MD

Title

Owner

Phone

(773) 508-9800

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

Practitioners 24

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

• Jose Luis Aguilar Jr., D.C.

  • Chiropractor
  • Northbrook, IL
  • NPI 1073556486
  NPD (past)
• Stavros Orestis Alexopoulos, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1710102017
  NPD (past)
• Vuksan Bulatovic, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1336254820
  NPD (past)
• Steven Comrov, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1205885282
  NPD (past)
• Brian David Cummings, D.C.

  • Chiropractor
  • Jerseyville, IL
  • NPI 1760524532
  NPD (past)
• Gerardo Guzman

  • Family Medicine Physician
  • West Chicago, IL
  • NPI 1992739700
  NPD (past)
• Jorge A. Hinojosa, MD

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1295743300
  NPD (past)
• Mohammad Hosseinian

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1396772380
  NPD (past)
• Drew S Kandilakis, D.C.

  • Chiropractor
  • Des Plaines, IL
  • NPI 1316971369
  NPD (past)
• Mansour Vincent Makhlouf, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Des Plaines, IL
  • NPI 1902841521
  NPD (past)
• Jonathan T Nassos, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1770761934
  NPD (past)
• John J O'Keefe, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1073678942
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1720096969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PETERSON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W PETERSON AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSEY MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SENNO",
        "authorized_official_first_name": "AREF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-508-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01616720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divers Psychotherapy LLC
• Diverse Investments Inc.
• Diversey Dental Center
• Diversey Family Dental, P.C.
• Diversey Health Care Clinic Inc
• Diversfied Emergency Services, LLC
• Diversified Behavioral Services
• Diversified Behavioral Services, Inc.
• Diversified Home Care Inc
• Diversified Urban Consultation Systems Inc

• Cardiovascular Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.