Active NPI 1750381273 Individual Practitioner Male Practitioner

Dr. Timothy Charles Samelson , MD

Pediatrics • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Samelson, MD is a registered healthcare professional specializing in Pediatrics in Gurnee, IL. Practice services are available at 1425 N HUNT CLUB RD STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1425 N Hunt Club Rd Ste 204

Gurnee, IL 600312635

Telephone 8478552997

Fax 8478558347

Associated Practice Facility / Clinic

🏢 David B. Shanker, M.d. Facility NPI 1780806091

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gurnee, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

15 Specialists

Practicing in Gurnee, IL (3277 Statewide)

Telehealth Adoption Rate

0.0% 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

CMS Verified: 2021-12-08

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036-084135

A pediatrician 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

364050769-60031-01 (IL)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 08, 2021

Registered at 1425 N HUNT CLUB RD STE 204, GURNEE, IL 600312635 (Tel: 8478552997)

📍

Updated Business Mailing Address December 08, 2021

Registered at 1425 N HUNT CLUB RD STE 204, GURNEE, IL 600312635 (Tel: 8478552997)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 6440 GRAND AVE, SUITE 202, GURNEE, IL 600315257 (Tel: 8478552997)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6440 GRAND AVE, SUITE 202, GURNEE, IL 600315257 (Tel: 8478552997)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY SAMELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

🟢

Initial NPI Registration & Enumeration July 27, 2005

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: 1750381273

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2005

Last Update: December 08, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1425 N Hunt Club Rd Ste 204

Gurnee, IL 600312635

Phone: 8478552997

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.