Timothy Charles Samelson in Gurnee - Pediatrics
Timothy Charles Samelson - NPI 1750381273
Timothy Charles Samelson is a Pediatrics in Gurnee, Illinois. Timothy Charles Samelson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy Charles Samelson is 1750381273. The last update date is 2021-12-08.
Timothy Charles Samelson's current location address is 1425 N Hunt Club Rd Ste 204, Gurnee, Illinois. You can contact this provider via phone number 8478552997 and fax number 8478558347. The mailing address for Timothy Charles Samelson is 1425 N Hunt Club Rd Ste 204, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Charles Samelson |
|---|---|
| Address | 1425 N Hunt Club Rd Ste 204, Gurnee, Illinois |
| Phone Number | 8478552997 |
| Fax Number | 8478558347 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750381273 |
|---|---|
| Provider Enumeration Date | 2005-07-27 |
| Last Updated Date | 2021-12-08 |
Provider Mailing Address Detail
| Address | 1425 N Hunt Club Rd Ste 204 |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600312635 |
| Phone Number | 8478552997 |
| Fax Number | 8478558347 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 036-084135 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 364050769-60031 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Charles Samelson by the Centers for Medicare & Medicaid Services (CMS)?
The Timothy Charles Samelson has been assigned the NPI (National Provider Identifier) 1750381273. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Timothy Charles Samelson located?
The Timothy Charles Samelson is located at 1425 N Hunt Club Rd Ste 204, Gurnee, IL 600312635.
What is the Timothy Charles Samelson's area of specialization and corresponding taxonomy classification?
The Timothy Charles Samelson's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1750381273 to Timothy Charles Samelson?
The Timothy Charles Samelson received its 1750381273 assignment from the Centers for Medicare & Medicaid Services on 2005-07-27.
When was the information regarding Timothy Charles Samelson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy Charles Samelson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY