Individual
DR. SAMUEL JACOB IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3313
(217) 383-3061
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036175827
IL
207P00000X
Emergency Medicine Physician
MD-50281
IA
Other
Enumeration date
06/04/2020
Last updated
07/24/2025
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