Pamela Semanik, CNP, APN, PHD

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209-001494 Issued in IL

Practice address

1415 W Foster Ave
Ground Floor
Chicago, IL 60640-2288

Phone

(312) 343-8372

Fax

(708) 406-1544

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

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.

• Medical Services Ric

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1659306587

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1962410191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W FOSTER AVE",
            "address_2": "GROUND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402288",
            "telephone_number": "312-343-8372",
            "fax_number": "708-406-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W FOSTER AVE",
            "address_2": "GROUND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402288",
            "telephone_number": "312-343-8372",
            "fax_number": "708-406-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMANIK",
        "first_name": "PAMELA",
        "name_prefix": "Prof.",
        "credential": "CNP, APN, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-001494",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-001494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC OHIO",
            "identifier": "248489523-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Selwyn, LCSW
• Patricia A Sema, ULTRASONOGRAPHER
• Daniel Zeidan Semaan, MD
• Kapil Semalti
• Julie A Seman, PT
• Suellen Stacia Semekoski, LCPC, ATR, BC
• Katrina Erin Semelroth, OTR/L
• Kristin Sementelli
• James L Sementilli, O.D.
• Angelo Semenza, DDS, MS

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.