| Seby S C | |
|
10830 S Halsted St Chicago IL 60628-3126 | |
| (773) 785-8000 | |
| (312) 533-2818 |
| Full Name | Seby S C |
|---|---|
| Speciality | Family Medicine |
| Location | 10830 S Halsted St, Chicago, Illinois |
| Authorized Official Name and Position | Sebastian Joseph (PRESIDENT) |
| Authorized Official Contact | 7737858000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seby S C P O Pox 3855 Carol Stream IL 60132-3855 Ph: (773) 785-8000 | Seby S C 10830 S Halsted St Chicago IL 60628-3126 Ph: (773) 785-8000 |
| NPI Number | 1316254873 |
|---|---|
| Provider Enumeration Date | 09/05/2010 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/14/2020 |
| Medicare PECOS PAC ID | 4486835139 |
|---|---|
| Medicare Enrollment ID | O20110301000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316254873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Secondary |
| Provider Name | Michelle Alexandre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477604791 PECOS PAC ID: 0143115576 Enrollment ID: I20040216000973 |
| Provider Name | Sebastian Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790004380 PECOS PAC ID: 0042342800 Enrollment ID: I20100715000051 |
| Provider Name | Shaheera Fatima Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861059834 PECOS PAC ID: 6002213360 Enrollment ID: I20210929001401 |
| Provider Name | Maryam Hussain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609642743 PECOS PAC ID: 3678914702 Enrollment ID: I20240507003489 |
| Provider Name | Aminat Monsurat Pedro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275354748 PECOS PAC ID: 1951891613 Enrollment ID: I20251110003761 |
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