Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW I SAMUELSON, M.D.
ActiveDR. MATTHEW I SAMUELSON, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1568534147 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1568534147
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2006 (19.791176630611 yrs)
- Last Updated
- Aug 8, 2017
- Licenses
-
036086139 (IL)036-086139 (IL)
Practice Information
- Address
-
420 N IL ROUTE 31CRYSTAL LAKE, IL, 600123711Browse IL providers · Browse ZIP 60012
- Phone
- 8153565200
- Fax
- 8153565262
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.