Benjamin Samuel MD S C

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036094563 Issued in IL

Legal business name

BENJAMIN SAMUEL MD S C

Practice address

2525 S Michigan Ave Mail Box 216
Chicago, IL 60616-5475

Phone

(773) 220-3972

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Samuel, M.D.NPI 1649287947

Title

President

Phone

(773) 220-3972

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Samuel, M.D.

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1649287947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639338254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W BARRY AVE APT 16F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575475",
            "telephone_number": "773-220-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE MAIL BOX 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165475",
            "telephone_number": "773-220-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN SAMUEL MD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-220-3972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036094563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Benitez, MD
• Benjamin Durchslag LCSW PC
• Benjamin Fogel, LCSW, LLC
• Benjamin G. Lumicao, M.D., LLC
• Benjamin Okai LTD.
• Mildred Eunice Benjamin-Smiddy, A.M. LCSW
• Aaron Benjamin, MD
• Attrica Benjamin
• Brian Benjamin, M.D.
• Cheryl B Benjamin

• Infectious Disease Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.