NPI Code Details Logo

NPI 1821702432

NPI 1821702432 : SENF NP FAMILY MEDICINE PLLC : SCHAUMBURG, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1821702432
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SENF NP FAMILY MEDICINE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/09/2023
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1901 N ROSELLE RD STE 800 
-----------------------------------------------------
    City                 |    SCHAUMBURG
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60195-3186
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-383-9300
-----------------------------------------------------
    Fax                  |    855-866-8710
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    909 RIDGEBROOK RD STE 300 
-----------------------------------------------------
    City                 |    SPARKS
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21152-9477
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-383-9300
-----------------------------------------------------
    Fax                  |    855-866-8710
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     MATTHEW  WELIK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    443-383-9300
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.