Organization Active NPI

Neil R. Selinger MDSC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1942326368
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEIL R. SELINGER MDSC
Practice address
333 E Ontario St
Apt 1601B
Chicago, IL 60611-4804
Phone
(312) 642-9433
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Neil Selinger, M.D.
Title
President
Phone
(312) 642-9433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X IL Primary

Addresses

Primary practice location

333 E Ontario St
Apt 1601B
Chicago, IL 60611-4804

Mailing address

333 E Ontario St
Apt 1601B
Chicago, IL 60611-4804
Phone (312) 642-9433

Other identifiers 2

IdentifierTypeStateIssuer
36062742MedicaidIL
31601639OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

333 E Ontario St
Apt 1601B
Chicago, IL 60611
Phone (312) 642-0943

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1942326368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "APT 1601B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804",
            "telephone_number": "312-642-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "APT 1601B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804",
            "telephone_number": "312-642-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL R. SELINGER MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SELINGER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-642-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36062742",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31601639",
            "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 Nov 27, 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.