Sebastian Joseph (NPI# 1790004380, PAC ID# 0042342800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790004380 |
| PAC ID by PECOS | 0042342800 |
| Professional Enrollment ID | I20100715000051 |
| Full Name | Sebastian Joseph |
| Organization Legal Name | SEBY S C |
| Address |
10830 S Halsted St Chicago IL 60628-3126 |
| Phone Number | 7737858000 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486835139 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140068 | ROSELAND COMMUNITY HOSPITAL |
| 140048 | ADVOCATE TRINITY HOSPITAL |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10830 S Halsted St, Chicago, IL 60628-3126 | 7737858000 | SEBY S C |
| 3510 W 79th St, Chicago, IL 60652-1430 | 7739780703 | CHICAGOLAND PHYSICIAN CONSORTIUM LLC |
| Organization Legal Name | SEBY S C |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mejo Vayalil | Nurse Practitioner | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
| Street Address |
10830 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip | 60628-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mejo Vayalil | Nurse Practitioner | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Angel Leake | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Solomon O Okai | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Jamiere Y Smith | Obstetrics/gynecology | Jamiere Y Smith Md Sc | 9915 S Halsted St, Chicago, IL 60628-1035 |
| Aquila R Shelby | Nurse Practitioner | Little Company of Mary Affiliated Services Inc | 736 W 95th St, Chicago, IL 60628-1063 |
| Nicole D King | Internal Medicine | 9500 S Dorchester Ave, Suite 100, Chicago, IL 60628-1700 | |
| Olukayode Olowe | Internal Medicine | 123 E 103rd St, Chicago, IL 60628-2713 | |
| Emily Therese Opiola | Nurse Practitioner | American Current Care of Illinois PC | 900 E 103rd St, Chicago, IL 60628-3033 |
| James B Achebe | Family Medicine | 10810 S Halsted St, Chicago, IL 60628-3126 | |
| Joseph S Thomas | Obstetrics/gynecology | 10814 S Halsted St, Chicago, IL 60628-3126 | |
| Find all physicians in zip 60628 | |||
| City | CHICAGO |
| Zip Code | 60628 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHICAGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sebastian Joseph.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.