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Individual

JEFFERY D. SEMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 RIDGE AVE, BURCH 118, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1502
(847) 733-5331
Mailing address
2650 RIDGE AVE, BURCH 118, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1502
(847) 733-5331

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036050151
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036050151
IL
01
440003493
RAILROAD MEDICARE
IL
01
4929938
BCBS PROVIDER ID
IL
Enumeration date
09/23/2005
Last updated
10/13/2020
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