Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis Ray Samuelson, MD

Individual provider Family Medicine Physician · NPI 1376792648

Dennis Ray Samuelson, MD is a Family Medicine Physician in Macomb, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1300 W Adams St
Macomb, IL 61455-1235
Phone: (309) 836-8751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-045578 (IL)

Record details

NPI number1376792648
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 11, 2008
Last updated in NPPESSeptember 11, 2008
Mailing address1300 W Adams St, Macomb, IL 61455-1235

Other providers in Macomb