Smitha Samuel, MD is a
Pediatrics physician based in Carpentersville, Illinois. Smitha Samuel is licensed to practice in Illinois (license number 125-052368) and her current practice location is 3003 Wakefield Dr, Carpentersville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 747-7100.
NPI number for Smitha Samuel is 1790977221 and her current mailing address is Po Box 19656, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790977221.
Physician's Profile
Full Name | Smitha Samuel |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 3003 Wakefield Dr, Carpentersville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790977221
- Provider Enumeration Date: 08/17/2007
- Last Update Date: 12/19/2012
Medical Identifiers
Medical identifiers for Smitha Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790977221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 125-052368 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Smitha Samuel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Smitha Samuel, MD Po Box 19656, Springfield, IL 62794-9656 Ph: (217) 545-8853 | Smitha Samuel, MD 3003 Wakefield Dr, Carpentersville, IL 60110-2422 Ph: (708) 747-7100 |
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