MR. JOSEPH BRADLEY SAMUELS


Address: 1611 W Harrison St Ste 400, Chicago, IL 60612-4861
Phone: 3124322300

MR. JOSEPH BRADLEY SAMUELS (NPI# 1184119471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184119471
Entity Type Individual
Full Name MR. JOSEPH BRADLEY SAMUELS
Credential PA-C
Practice Address 1611 W Harrison St Ste 400
Chicago
IL 60612-4861
Mailing Address 1 Westbrook Corporate Ctr Ste 240
Westchester
IL 60154-5745
Practice Telephone 3124322300
Mailing Telephone 7082362600
Enumeration Date 2018-06-28
Last Update Date 2018-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085.006671 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOSEPH SAMUELS

NPI Name Taxonomy Address Enumeration
1306864590 Joseph Erick Samuels Acupuncturist 2639 W Norvell Bryant Hwy, Lecanto, FL 34461-9440 2006-07-17

Office Location

Street Address 1611 W HARRISON ST STE 400
City CHICAGO
State IL
Zip Code 60612-4861

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770557811 Brian Forsythe Orthopaedic Surgery 1611 W Harrison St Ste 400, Chicago, IL 60612 2006-02-15
1861022493 Isabelle Baneux Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2020-01-23
1700429040 William Sideras Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-10-18
1821643123 Kaileen Elizabeth Healy Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-08-05
1124672498 Yong Li Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-07-25
1326609017 Hailey Christa Merk Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-06-24
1770045049 Alissa Marie Winner Nurse Practitioner 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-04-04
1790245371 Max Monahan Levine Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2019-03-21
1780167213 Samantha Fried Registered Nurse 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2018-09-11
1215420393 Gabrielle Dunn Physician Assistant 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 2018-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470709 Bryan Ying Wong Physician Assistant 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 2020-09-04
1245858117 Emily Victoria Headley Physician Assistant 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 2020-07-08
1548884547 Crystal Afua Amoah Physician Assistant 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 2020-06-04
1841814274 Zubair Aslam Khan Physician Assistant 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 2020-06-01
1659991818 Taylor Nicole Anderson Physician Assistant 25 W Randolph St Apt 603, Chicago, IL 60601-3514 2020-04-17
1720616444 Melanie Doretti Physician Assistant 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 2020-03-29
1154958544 Joerissa Gearlds Physician Assistant 5645 W Addison St Rm 353, Chicago, IL 60634-4403 2020-03-25
1932736816 Taylor Evan Fisher Physician Assistant 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 2020-03-23
1285260844 Krista A Saum Physician Assistant 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 2020-03-16
1386278430 Adara Simonelli Physician Assistant 6317 S Lorel Avenue, Chicago, IL 60638 2020-02-27
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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