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Search › Illinois › 208600000X

Samuel Kingsley, MD

NPI 1477851673 · on the registry since 2011 · sole proprietor

Practice

Address
836 W Wellington Ave Rm 4813cc
Chicago, IL 60657
Phone
(773) 296-5073
Fax
(773) 296-7199
Organisation at this address
Vedek Inc
Endopeak Sc
Neocare Llc
Neocare Health Inc
Rada I Ivanov Md Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
431

Additional practice sites

  • 444 West Surf Street, Chicago, IL

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois