SIMEON A. SEVANDAL, JR. MD – NPI #1528052735
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

SIMEON SEVANDAL, JR. is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1528052735 to SIMEON SEVANDAL, JR. on September 01, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 15 years ago on Sep 30, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIMEON SEVANDAL, JR. below.

The provider associated with this NPI number, 1528052735, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
SIMEON A. SEVANDAL, JR.

NPI Number
1528052735
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SIMEON A. SEVANDAL, JR.
Credentials
MD
Primary location
3339 W 55TH ST
CHICAGO, IL 60632
Phone: (773) 471-3600 Fax: (773) 471-3602
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for SIMEON SEVANDAL, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL3654903
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 IL 3654903

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.