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

Individual provider Medical Physician Assistant · NPI 1952733818

Ksenia Samvel, PA-C is a Physician Assistant in Gurnee, Illinois. Qualified in 2012, 14 years ago. Practices with Provida Health Center SC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Texas.

Years since qualifying
14
Licensed in
IL, TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1425 N Hunt Club Rd Ste 100
Gurnee, IL 60031-2632
Phone: (847) 548-2200
Fax: (847) 548-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.004974 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA08386 (TX)

Record details

NPI number1952733818
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Provida Health Center Sc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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