Individual
SAMUEL DALTON CAPOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036164600
IL
Other
Enumeration date
04/11/2019
Last updated
11/21/2025
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