Individual
DR. SCOTT A SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 60546-2082
(708) 442-0221
(708) 442-5670
Mailing address
353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 60546-2082
(708) 442-0221
(708) 442-5670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036077172
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633451
BLUE CROSS BLUE SHIELD
IL
05
—
036077172
—
IL
01
—
123175300
US DEPARTMENT OF LABOR
IL
01
—
P00061395
RAILROAD MEDICARE
IL
Enumeration date
07/21/2005
Last updated
07/08/2007
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