DR. TIMOTHY CHARLES SAMELSON M.D.
NPI 1750381273
Pediatrics in Gurnee, IL

Q: What is Timothy Samelson's NPI number?

The NPI number for Timothy Samelson is 1750381273. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Q: What is Timothy Samelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Samelson was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 27, 2005

1425 N HUNT CLUB RD STE 204, GURNEE, IL 60031(847) 855-2997(847) 855-8347 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Timothy Charles Samelson M.d. NPPES

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

DR. TIMOTHY CHARLES SAMELSON M.D. (NPI 1750381273) is an individual pediatrics provider in Gurnee, Illinois, licensed in Illinois (036-084135) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1750381273

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. TIMOTHY CHARLES SAMELSONCredential: M.D.

Location Address1425 N HUNT CLUB RD STE 204Gurnee, IL 60031-2635

Mailing Address1425 N Hunt Club Rd Ste 204Gurnee, IL 60031-2635 · (847) 855-2997 · Fax (847) 855-8347

Phone(847) 855-2997

Fax(847) 855-8347

Sole ProprietorYes

Enumeration DateJuly 27, 2005

Last NPPES UpdateDecember 8, 2021

NPPES CertifiedDecember 8, 2021

✔ NPI 1750381273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-084135

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1425 N HUNT CLUB RD STE 204, Gurnee, IL 60031

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Other Identifiers 1

Medicaid364050769-60031-01IL

Other Providers at the Same Location NPPES

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

DAVID B. SHANKER, M.D.

Dermatology

1425 N HUNT CLUB RD STE 204
GURNEE, IL 60031

Lake County (847) 855-0125

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 Timothy Samelson's NPI number?

The NPI number for Timothy Samelson is 1750381273. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Timothy Samelson located?

Timothy Samelson practices at 1425 N Hunt Club Rd Ste 204, Gurnee, IL 60031. The listed phone number is (847) 855-2997.

What is Timothy Samelson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Timothy Samelson was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.