Individual provider Active NPI

Samson Keefe Cahill, DC

  • Chiropractor
  • Hillside, IL
National Provider Identifier
1063408763
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009740 Issued in IL
Practice address
1919 S Wolf Rd
Unit 206
Hillside, IL 60162-2163
Phone
(630) 290-7269
NPI assigned
Sep 27, 2005
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009740 IL Primary

Addresses

Primary practice location

1919 S Wolf Rd
Unit 206
Hillside, IL 60162-2163

Mailing address

1919 S Wolf Rd
Unit 206
Hillside, IL 60612
Phone (630) 290-7269

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009740ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cahill Diagnostic Imaging, Inc Past Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients
Physical Medicine Associates SC Chiropractor PastSince May 22, 2022 Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1063408763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WOLF RD",
            "address_2": "UNIT 206",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "630-290-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WOLF RD",
            "address_2": "UNIT 206",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622163",
            "telephone_number": "630-290-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "SAMSON",
        "middle_name": "KEEFE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.