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DENNIS RAY SAMUELSON M.D.
NPI 1376792648
Family Medicine in Macomb, IL

Active since September 11, 2008
1300 W ADAMS ST, MACOMB, IL 61455(309) 836-8751 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dennis Ray Samuelson M.d. NPPES

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

DENNIS RAY SAMUELSON M.D. (NPI 1376792648) is an individual family medicine provider in Macomb, Illinois, licensed in Illinois (036-045578) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1376792648
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDENNIS RAY SAMUELSONCredential: M.D.
Location Address1300 W ADAMS STMacomb, IL 61455-1235
Mailing Address1300 W Adams StMacomb, IL 61455-1235 · (309) 836-8751
Phone(309) 836-8751
Sole ProprietorYes
Enumeration DateSeptember 11, 2008
✔ NPI 1376792648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-045578
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 W ADAMS ST, Macomb, IL 61455
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Other Identifiers 1

Medicare UPINL00347IL

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 Dennis Samuelson's NPI number?

The NPI number for Dennis Samuelson is 1376792648. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is Dennis Samuelson located?

Dennis Samuelson practices at 1300 W Adams St, Macomb, IL 61455. The listed phone number is (309) 836-8751.

What is Dennis Samuelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dennis Samuelson was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.