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Search › Illinois › 2080N0001X

Shoji Samson, DO

NPI 1831504067 · on the registry since 2014 · sole proprietor

Practice

Address
5841 S Maryland Ave
Chicago, IL 60637
Phone
(888) 824-0200
Organisation at this address
Lifenet, Inc.
Medcentrix Inc
Hillary Hecktman
University Of Chicago
University Of Chicago
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,773

Additional practice sites

  • 2200 E Washington St, Bloomington, IL
  • 507 E Armstrong Ave, Peoria, IL
  • 530 Ns Glen Oak Avenue, Peoria, IL

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Also registered as
2080N0001X
208000000X
208000000X
208000000X
2080N0001X
208000000X
2080N0001X
Licence states on file
IA, NY, IL, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-25

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