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

Dr. Shirly Susan Samuel, MD

Individual provider Internal Medicine Physician · NPI 1619506508

Dr. Shirly Susan Samuel, MD is an Internal Medicine in Oak Park, Illinois. Qualified in 2019, 7 years ago. Practices with Cimpar SC, a 36-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
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

101 Madison St Ste 300
Oak Park, IL 60302-4210
Phone: (708) 486-2700
Fax: (708) 847-2702
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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 036.165713 (IL)

Record details

NPI number1619506508
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJuly 24, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cimpar Sc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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