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Individual

SAMUEL DAVID STULBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
680 N LAKE SHORE DR, SUITE 1028, CHICAGO, IL 60611-4546
(312) 664-6848
Mailing address
680 N LAKE SHORE DR, ATTN: LILLI KORNBLUM SUITE 1028, CHICAGO, IL 60611-4546
(312) 475-5535

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-053824
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036053824
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-053824
IL
Enumeration date
05/24/2006
Last updated
02/25/2026
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