DR. SAMUEL CHRISTOPHER LUBOR MD
NPI 1295439602
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Samuel Lubor's NPI number?

The NPI number for Samuel Lubor is 1295439602. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Samuel Lubor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Lubor was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 29, 2023PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(847) 802-0904 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Mar 29, 2023 (2 updates tracked since 2023).

On this page

About Dr. Samuel Christopher Lubor Md NPPES

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

DR. SAMUEL CHRISTOPHER LUBOR MD (NPI 1295439602) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295439602

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMUEL CHRISTOPHER LUBORCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328

Phone(847) 802-0904

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateMay 18, 20232 updates tracked since enumeration

NPPES CertifiedMay 18, 2023

✔ NPI 1295439602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.081321 (IL)

2160 S 1ST AVE, Maywood, IL 60153

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Christopher Lubor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)