Active NPI
Hugh Seller
- Psychiatry Physician
- Hines, IL
National Provider Identifier
1881005494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036143492
- Practice address
- 5000 S 5TH Ave BLDG 228
Hines, IL 60141-3030 - Phone
- (708) 202-7991
- NPI assigned
- May 16, 2014
- Last updated
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 036143492 | IL | Primary |
Addresses
Primary practice location
5000 S 5TH Ave BLDG 228
Hines, IL 60141-3030
Mailing address
912 S Wood St
Chicago, IL 60612-4300
Phone (312) 996-3583
Other practice location 1
912 S Wood St
Chicago, IL 60612
Phone (312) 996-3583
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1881005494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124300",
"telephone_number": "312-996-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S 5TH AVE BLDG 228",
"city": "HINES",
"state": "IL",
"postal_code": "601413030",
"telephone_number": "708-202-7991"
}
],
"practiceLocations": [
{
"address_1": "912 S Wood St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "312-996-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLER",
"first_name": "HUGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-16",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036143492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.