Individual
DR. SAMUEL STEPHENS KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE RM 4813CC, CHICAGO, IL 60657-5147
(773) 296-5073
(773) 296-7199
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.122553
IL
Other
Enumeration date
03/11/2011
Last updated
03/20/2025
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