Active NPI
Judith Anne Samson, M.D.
- Anesthesiology Physician
- Highland Park, IL
National Provider Identifier
1023284403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036107911
- Practice address
- 2808 Lexington LN
Highland Park, IL 60035-1026 - Phone
- (312) 498-4482
- Fax
- (847) 433-2381
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036107911 | IL | Primary |
Addresses
Primary practice location
2808 Lexington LN
Highland Park, IL 60035-1026
Mailing address
2808 Lexington LN
Highland Park, IL 60035-1026
Phone (312) 498-4482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107911 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1023284403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 LEXINGTON LN",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600351026",
"telephone_number": "312-498-4482",
"fax_number": "847-433-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 LEXINGTON LN",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600351026",
"telephone_number": "312-498-4482",
"fax_number": "847-433-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "JUDITH",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036107911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.