| Neil R. Selinger Mdsc | |
|
333 E Ontario St Apt 1601b Chicago IL 60611-4804 | |
| (312) 642-9433 | |
| Not Available |
| Full Name | Neil R. Selinger Mdsc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 333 E Ontario St, Chicago, Illinois |
| Authorized Official Name and Position | Neil Selinger (PRESIDENT) |
| Authorized Official Contact | 3126429433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil R. Selinger Mdsc 333 E Ontario St Apt 1601b Chicago IL 60611-4804 Ph: (312) 642-9433 | Neil R. Selinger Mdsc 333 E Ontario St Apt 1601b Chicago IL 60611-4804 Ph: (312) 642-9433 |
| NPI Number | 1942326368 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/27/2007 |
| Medicare PECOS PAC ID | 4880784958 |
|---|---|
| Medicare Enrollment ID | O20071213000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942326368 | NPI | - | NPPES |
| 36062742 | Medicaid | IL | |
| 31601639 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Provider Name | Neil R Selinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043409360 PECOS PAC ID: 7618067778 Enrollment ID: I20071213000518 |
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