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

Individual provider Internal Medicine Physician · NPI 1861000630

Dr. Mustafa Ali Samejo, MD is an Internal Medicine in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Adventist Health System-Sunbelt Inc, a 110-clinician group and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
12
Licensed in
FL, IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4646 N Marine Dr
Chicago, IL 60640-5759
Phone: (773) 564-5225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME160440 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125076983 (IL)

Record details

NPI number1861000630
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2020
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Adventist Health System-Sunbelt Inc — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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