IndividualActive
Matthew Samuelson, M.D.
NPI 1568534147 · Orthopaedic Foot and Ankle Surgery Physician · Crystal Lake, IL
Provider details
- NPI number
- 1568534147
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036086139 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
420 N Il Route 31
Crystal Lake, IL 60012-3711
Phone: (815) 356-5200
Fax: (815) 356-5262
Approximate (ZIP-level) locationGet directions
Mailing address
420 N Il Route 31
Crystal Lake, IL 60012-3711
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2017-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.