Samuelson, Matthew I

Samuelson, Matthew I is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012-3711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Samuelson, Matthew I can be contacted via phone (815) 356-5200.

Contact Information

Primary practice address
420 N Il Route 31 Crystal Lake IL 60012-3711
Phone: (815) 356-5200
Fax: (815) 356-5262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036086139 Illinois
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 036-086139 Illinois

Profile Details

NPI number 1568534147
LBN Legal business name Samuelson, Matthew I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568534147 NPPES
Illinois MEDICAID 036086139

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