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Jacob Samuel, DMD
NPI 1982263646 · on the registry since 2019
Practice
- Address
- 1017 W Madison St
Chicago, IL 60607 - Phone
- (312) 759-1120
- Organisation at this address
- Skyline Smiles Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 1940 W Galena Blvd Ste 7, Aurora, IL
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-06
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