Healthcare Provider Details

I. General information

NPI: 1518044098
Provider Name (Legal Business Name): TODD PAUL SEMLA PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 LINCOLNWOOD DR
EVANSTON IL
60201-1229
US

IV. Provider business mailing address

2732 LINCOLNWOOD DR
EVANSTON IL
60201-1229
US

V. Phone/Fax

Practice location:
  • Phone: 847-328-7503
  • Fax:
Mailing address:
  • Phone: 847-328-7503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number051-03484
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number051-03484
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: