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

Madison Sample Jr., MD

Individual provider Anesthesiology Physician · NPI 1023122215

Madison Sample Jr., MD is an Anesthesiology in Chicago, Illinois. Graduated from Washington University School of Medicine in 1992, 34 years ago. Practices with Memorial Hospital, a 206-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
34
Trained at
Washington University School of Medicine
Licensed in
IL, IN
In the registry since
2006
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

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone: (773) 792-5162
Fax: (773) 594-8589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036093157 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 01076521A (IN)

Record details

NPI number1023122215
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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