Individual
DR. JORDAN SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22285 N. PEPPER ROAD, LAKE BARRINGTON, IL 60010-2538
(847) 882-6604
(847) 882-6228
Mailing address
22285 N. PEPPER ROAD, SUITE 401, LAKE BARRINGTON, IL 60010-2538
(847) 882-6604
(847) 882-6228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036133329
IL
Other
Enumeration date
06/30/2009
Last updated
03/22/2017
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