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Deactivated NPI 1790751519 Deactivated / Inactive NPI Male Practitioner

Samuel F Brunk

Specialist • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Brunk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 23, 2006
NPI Deactivation Date July 31, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Samuel Brunk was a registered Specialist practicing in Chicago, IL. Throughout an active medical career spanning 19 years, Samuel Brunk provided care at the practice location at 2330 PAYSPHERE CIR until profile deactivation on 2025-07-31.

Practice Location & Contact Primary Location

Practice Address

2330 Paysphere Cir

Chicago, IL 606740023

Telephone 8477464358
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Chicago, IL (1322 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ruth Diamond , FNP-BC

Nurse Practitioner - Family

NPI 1013255975

Family Nurse Practitioner (Board Certified)

Dr. Sybilann Williams , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1023089893

Doctor of Medicine (M.D.)

Dr. Yiping Fu , MD

Internal Medicine - Pulmonary Disease

NPI 1043205107

Doctor of Medicine (M.D.)

Dr. Eugene Ahn , MD

Internal Medicine - Medical Oncology

NPI 1093911307

Doctor of Medicine (M.D.)

Lawrence Wiggins , PA

Physician Assistant

NPI 1104897974

Physician Assistant

Aric Blom , PA-C

Physician Assistant

NPI 1114905411

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2330 PAYSPHERE CIR, CHICAGO, IL 606740023 (Tel: 8477464358)

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Updated Business Mailing Address July 09, 2007

Registered at 10109 E 79TH ST, TULSA, OK 741334564

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Provider Name / Credentials Updated July 09, 2007

Recorded as SAMUEL BRUNK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist

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Initial NPI Registration & Enumeration February 23, 2006

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: 1790751519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: July 09, 2007
Deactivation Date: July 31, 2025

Mailing Address

10109 E 79th St

Tulsa, OK 741334564

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

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