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

Dr. Samuel Stephens Kingsley, MD

Individual provider Surgery Physician · NPI 1477851673

Dr. Samuel Stephens Kingsley, MD is a General Surgery in Chicago, Illinois. Graduated from University of Chicago, Pritzker School of Medicine in 2005, 21 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
IL
In the registry since
2011
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

836 W Wellington Ave Rm 4813CC
Chicago, IL 60657-5147
Phone: (773) 296-5073
Fax: (773) 296-7199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 444 West Surf Street, Chicago, IL 60657-6106 — (773) 383-3707

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036.122553 (IL)

Record details

NPI number1477851673
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 11, 2011
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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