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Contact Information

PETER SERINA
211 E ONTARIO ST STE 200
CHICAGO, IL60611
 Phone: 312-926-6493
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PETER SERINA · (Male)

NPI # 1124540364
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2017
Last updated 07/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125073355
  • IL Medicaid 125073355
Hospital affiliation(s)
  • FHN MEMORIAL HOSPITAL - (Acute Care)
    1045 WEST STEPHENSON STREET
    FREEPORT, IL 61032
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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