Individual provider · Type 1 NPI

Alec Samuel Small, DO

Emergency Medicine Physician · Kenosha, WI

NPI number 1700464526 Active

Practice location

10400 75th St
Kenosha, WI 53142-7884

Mailing address

808 S Wood St Rm 469A
Chicago, IL 60612-7300

Other practice locations

  • 1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273
  • 1775 Dempster St, Park Ridge, IL 60068-1143 · (847) 723-5150

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X20A25611 (CA)
Emergency Medicine Physician Primary 207P00000X81508-21 (WI)
Emergency Medicine Physician 207P00000X036.166609 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

229 other providers at this address

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About NPI 1700464526

Alec Samuel Small, DO's National Provider Identifier is 1700464526, issued on Apr 1, 2021. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 5, 2026.