Active NPI
Neil R. Selinger MDSC
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1942326368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36062742 | Medicaid | IL | |
| 31601639 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.