Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alec Samuel Small, DO

Individual provider Emergency Medicine Physician · NPI 1700464526

Alec Samuel Small, DO is an Emergency Medicine in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
5
Licensed in
IL, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 81508-21 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.166609 (IL)

Record details

NPI number1700464526
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address808 S Wood St Rm 469a, Chicago, IL 60612-7300

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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