Individual provider Active NPI

Therese Seigal, PA

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1831667484
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6668 Issued in MA
Practice address
1945 W Wilson Ave Ste 100
Chicago, IL 60640-7927
Phone
(773) 769-9040
Fax
(847) 866-8990
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6668 MA Primary

Addresses

Primary practice location

1945 W Wilson Ave Ste 100
Chicago, IL 60640-7927

Mailing address

575 Turnpike St Ste 21
North Andover, MA 01845-5937
Phone (978) 794-1946

Other practice location 1

323 Lowell St
Andover, MA 01810-4501
Phone (978) 978-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230412002239 IL Practitioner - Physician Assistant 9830438860 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1439NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: therese.urgeldiolaseigl.p5@direct.aara1.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1831667484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 21",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-794-1946",
            "fax_number": "978-975-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W WILSON AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407927",
            "telephone_number": "773-769-9040",
            "fax_number": "847-866-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Lowell St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018104501",
            "country_code": "US",
            "telephone_number": "978-978-3276",
            "fax_number": "978-688-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIGAL",
        "first_name": "THERESE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.