BENJAMIN SAMUEL (NPI# 1649287947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649287947 |
| Entity Type | Individual |
| Full Name | BENJAMIN SAMUEL |
| Credential | M.D. |
| Practice Address |
2525 S Michigan Ave Mail Box 216 Chicago IL 60616-5475 |
| Mailing Address |
533 W Barry Ave Apt 16f Chicago IL 60657-5475 |
| Practice Telephone | 7732203972 |
| Mailing Telephone | (773) 220-3972 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036094563 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER ID | 01637015 | 01 |
| IL | RAILROAD MEDICARE | P00385596 | 01 |
| IL | 036094563 | 05 |
| Street Address |
2525 S MICHIGAN AVE MAIL BOX 216 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-5475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639338254 | Benjamin Samuel Md S C | Internal Medicine | 2525 S Michigan Ave Mail Box 216, Chicago, IL 60616-5475 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1417192345 | Peguy Saad | Internal Medicine | 2923 N California Ave Ste 220, Chicago, IL 60618-7702 | 2008-12-05 |
| 1457548034 | Jessica P. Ridgway | Internal Medicine | 5841 S Maryland Ave # Mc5065, Chicago, IL 60637-1447 | 2007-09-27 |
| 1346440484 | Gail Elizabeth Reid | Internal Medicine | 840 South Wood Street, University of Illinois, Chicago, Dept of Medicine, Chicago, IL 60612 | 2007-07-18 |
| 1649482670 | Keith Macdonell | Internal Medicine | 2740 W Foster Ave Ste 214, Chicago, IL 60625-3500 | 2007-05-03 |
| 1194944512 | Juliette Giner | Internal Medicine | Thorek Memorial Hospital, 850 W. Irving Park Road, Chicago, IL 60613-3098 | 2007-04-24 |
| 1902947955 | Rebecca Marion Wurtz | Internal Medicine | 2112 W Lunt Ave, Chicago, IL 60645-4816 | 2007-02-11 |
| 1023191145 | Mahesh C. Patel | Internal Medicine | 808 S Wood St Rm 888, Section of Infectious Diseases (mc 735), Chicago, IL 60612-7300 | 2006-10-23 |
| 1063509172 | Richard D'aquila | Internal Medicine | 676 N. St. Clair, Arkes 940, Chicago, IL 60611-3015 | 2006-10-09 |
| Find all providers in CHICAGO | ||||
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| 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.