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

Samuel Jimenez, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316568710

Samuel Jimenez, DO is a Hospitalist in Maywood, Illinois. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Saint Antoine St Ste 6a, Detroit, MI 48201-2153 — (313) 745-4627

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036179793 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316568710
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 27, 2020
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address4201 Saint Antoine St # 9c, Detroit, MI 48201-2153

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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