Dr. Timothy Charles Samelson
M.D. | Pediatrics | Male
Dr. Timothy Charles Samelson, M.D. is a Gurnee, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Timothy Charles Samelson is
1425 N Hunt Club Rd Ste 204, Gurnee, Illinois - 60031-2635. He can be contacted on phone at
847-855-2997 and fax number 847-855-8347.
Dr. Timothy Charles Samelson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Timothy Charles Samelson is
1750381273 which was assigned by NPPES on 27 Jul, 2005 and it was last updated on 08 Dec, 2021.
Dr. Timothy Charles Samelson license number is
036-084135 for Pediatrics (208000000X) in Illinois.
Dr. Timothy Charles Samelson is a pediatrician who 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.
Complete Profile:
Dr. Timothy Charles Samelson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Timothy Charles Samelson |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Timothy Charles Samelson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1425 N Hunt Club Rd Ste 204
Gurnee, IL, 60031-2635
United States |
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| Phone Number : | 847-855-2997 |
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| Fax Number : | 847-855-8347 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750381273 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jul, 2005 |
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| Last Updated On : | 08 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Charles Samelson are as mentioned. Primary taxonomy code for Dr. Timothy Charles Samelson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-084135 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Timothy Charles Samelson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 364050769-60031-01 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tsamelson236522@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 1425 N HUNT CLUB RD STE 204,
GURNEE, IL, 60031-2635
United States |
FHIR
(FHIR URL) | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 1425 N HUNT CLUB RD STE 204,
GURNEE, IL, 60031-2635
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1425 N Hunt Club Rd Ste 204
Gurnee, IL, 60031-2635
United States |
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| Phone Number : | 847-855-2997 |
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| Fax Number : | 847-855-8347 |
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Business Location:
Patients can refer following map for directions to
Dr. Timothy Charles Samelson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.