Individual
SAMUEL ROBERT BUNTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637-1443
(773) 834-0373
(773) 702-4297
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036168204
IL
2084P0800X
Psychiatry Physician
Primary
036168204
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2021
Last updated
02/11/2026
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