DR. SAMUEL BUNVILLE PH.D.
NPI 1093508582
Counselor - Professional in Chicago, IL

Active since May 27, 2025
1451 W 115TH ST, CHICAGO, IL 60643(708) 259-4977 Get Directions Write a Review

NPPES record last updated: April 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2026, May 27, 2025 (2 updates tracked since 2025).

About Dr. Samuel Bunville Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL BUNVILLE PH.D. (NPI 1093508582) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178018649) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1093508582
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. SAMUEL BUNVILLECredential: PH.D.
Location Address1451 W 115TH STChicago, IL 60643-4464
Mailing Address1451 W 115th StChicago, IL 60643-4464 · (708) 259-4977
Sole ProprietorYes
Enumeration DateMay 27, 2025
Last NPPES UpdateApril 11, 20262 updates tracked since enumeration
NPPES CertifiedApril 11, 2026
NPI 1093508582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178018649
1451 W 115TH ST, Chicago, IL 60643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Bunville's NPI number?

The NPI number for Samuel Bunville is 1093508582. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Samuel Bunville located?

Samuel Bunville practices at 1451 W 115th St, Chicago, IL 60643. The listed phone number is (708) 259-4977.

What is Samuel Bunville's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Samuel Bunville was last updated on April 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.