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

Samantha Phillips

Individual provider Dermatology Physician · NPI 1275168460

Samantha Phillips is a Dermatology in Chicago, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2021, 5 years ago. Practices with Jordan C Carqueville MD LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1853 W Polk St
Chicago, IL 60612-4355
Phone: (312) 996-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125.078592 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275168460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2020
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2021 (5 years in practice)
Group practice Jordan C Carqueville Md Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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