IndividualActive
Dennis Samuelson, M.D.
NPI 1376792648 · Family Medicine Physician · Macomb, IL
Provider details
- NPI number
- 1376792648
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036-045578 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1300 W Adams St
Macomb, IL 61455-1235
Phone: (309) 836-8751
Approximate (ZIP-level) locationGet directions
Mailing address
1300 W Adams St
Macomb, IL 61455-1235
Registry dates
- Enumerated
- 2008-09-11
- Last updated
- 2008-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.