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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMANTHA E GILLOOLEY DDS
NPI 1588465702
Dentist - General Practice in Tinley Park, IL

Active since March 24, 2025PECOS Enrolled
17519 80TH AVE, TINLEY PARK, IL 60477(708) 578-6692 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Dr. Samantha E Gillooley Dds NPPES

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

DR. SAMANTHA E GILLOOLEY DDS (NPI 1588465702) is an individual general practice provider in Tinley Park, Illinois, licensed in Illinois (019.036108) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588465702
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMANTHA E GILLOOLEYCredential: DDS
Location Address17519 80TH AVETinley Park, IL 60477-4300
Mailing Address12340 W Bentwood DrHomer Glen, IL 60491-6971 · (708) 927-3959
Phone(708) 578-6692
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1588465702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.036108
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17519 80TH AVE, Tinley Park, IL 60477
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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. Samantha E Gillooley Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60477 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. ASHLEY NOZIK DDS
Dentist (Prosthodontics)
17519 80TH AVE
TINLEY PARK, IL 60477
Cook County (708) 263-4147
DR. ROBERT STEVEN MCGONIGLE DDS
Dentist
17519 80TH AVE
TINLEY PARK, IL 60477
Cook County (708) 429-2111
KRISTINA STUEDEMANN DMD
Dentist (General Practice)
17519 80TH AVE
TINLEY PARK, IL 60477
Cook County (708) 429-2111
MCGONIGLE DENTAL ASSOCIATES
Dentist
17519 80TH AVE
TINLEY PARK, IL 60477
Cook County (708) 429-2111

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 Samantha Gillooley's NPI number?

The NPI number for Samantha Gillooley is 1588465702. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Samantha Gillooley located?

Samantha Gillooley practices at 17519 80th Ave, Tinley Park, IL 60477. The listed phone number is (708) 578-6692.

What is Samantha Gillooley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samantha Gillooley enrolled in Medicare?

Yes. Samantha Gillooley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Gillooley was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.