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Active NPI 1275168460 Individual Practitioner Female Practitioner

Samantha Phillips

Dermatology • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samantha Phillips is a certified Dermatology practicing in Chicago, IL. With approximately 5 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2021, Samantha Phillips delivers high-quality medical care to the local community at 1853 W POLK ST.

Samantha Phillips is affiliated with Jordan C Carqueville Md Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1853 W Polk St

Chicago, IL 606124355

Telephone 3129963500

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -12.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
242 Specialists

Practicing in Chicago, IL (673 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phillips (5 Years) 5 Yrs
Chicago Specialty Average (17.3 Years) 17.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-31
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 125.078592

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Jordan C Carqueville Md Llc

737 N Michigan Ave, Chicago, IL 606116661

Phone: 3123191978

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jude Al Abosy

Student in an Organized Health Care Education/Training Program

NPI 1255131637
NPI 1336949551
NPI 1568104578
Kristin Auge-Bronersky

Internal Medicine

NPI 1861028243
Ryan Park

Student in an Organized Health Care Education/Training Program

NPI 1861325607
Yanzhen Pang

Student in an Organized Health Care Education/Training Program

NPI 1871352245

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated March 31, 2025

Recorded as SAMANTHA PHILLIPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Dermatology (License #125.078592 in IL)

NPI Profile Active March 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2020

Registered at 1853 W POLK ST, CHICAGO, IL 606124355 (Tel: 3129963500)

📍
Updated Business Mailing Address March 08, 2020

Registered at 1853 W POLK ST, CHICAGO, IL 606124355

👤
Provider Name / Credentials Updated March 08, 2020

Recorded as SAMANTHA HUNT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275168460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2020
Last Update: March 31, 2025
Sole Proprietor: No

Mailing Address

1853 W Polk St

Chicago, IL 606124355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.