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

Samuel Susko

Individual provider Physician Assistant · NPI 1235923145

Samuel Susko is a Physician Assistant in Springfield, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1235923145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address701 N 1st St, Springfield, IL 62781-0001

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