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JACOB SAMUEL DMD
NPI 1982263646
Dentist - General Practice in Chicago, IL

Active since June 06, 2019
1017 W MADISON ST, CHICAGO, IL 60607(312) 759-1120 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Samuel Dmd NPPES

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

JACOB SAMUEL DMD (NPI 1982263646) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.032124) and active in the NPI registry since June 2019. He maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1982263646
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB SAMUELCredential: DMD
Location Address1017 W MADISON STChicago, IL 60607-2007
Mailing Address1686 Charlotte CirNaperville, IL 60564-8205 · (630) 414-3884
Phone(312) 759-1120
Sole ProprietorNo
Enumeration DateJune 6, 2019
✔ NPI 1982263646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.032124
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.
1017 W MADISON ST, Chicago, IL 60607
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Secondary Practice Location 1

Location 11940 W Galena Blvd Ste 7Aurora, IL 60506-4482 · Phone (630) 835-0506

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

SKYLINE SMILES LLC
Dentist (General Practice)
1017 W MADISON ST
CHICAGO, IL 60607
Cook County (312) 759-1120
DR. PRIYA N. PATEL D.M.D.
Dentist
1017 W MADISON ST
CHICAGO, IL 60607
Cook County (312) 759-1120

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 Jacob Samuel's NPI number?

The NPI number for Jacob Samuel is 1982263646. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Jacob Samuel located?

Jacob Samuel practices at 1017 W Madison St, Chicago, IL 60607. The listed phone number is (312) 759-1120.

What is Jacob Samuel's specialty?

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

What insurance does Jacob Samuel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jacob Samuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Samuel was last updated on June 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.