Healthcare Provider Details

I. General information

NPI: 1699461889
Provider Name (Legal Business Name): SAMUEL LEE HILL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BARRINGTON COMMONS CT UNIT 1790
BARRINGTON IL
60011-5273
US

IV. Provider business mailing address

106 BARRINGTON COMMONS COURT 1790
BARRINGTON IL
60011
US

V. Phone/Fax

Practice location:
  • Phone: 847-719-2220
  • Fax: 847-719-2265
Mailing address:
  • Phone: 847-719-2220
  • Fax: 847-719-2265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036181356
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036181356
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: