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NPI Code Detail

MEDICARE: DR. SAMUEL JOHN STARKE MD

MEDICARE: DR. SAMUEL JOHN STARKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician036.170337IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1720669773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL JOHN STARKE MD
Provider Business Mailing Address
First Line : 600 S PAULINA ST STE 140
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3806
Country : US
Telephone Number : 131-294-2586
Fax Number :
Provider Business Practice Location Address
First Line : 600 S PAULINA ST STE 140
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3806
Country : US
Telephone Number : 131-294-2586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 06/01/2026

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Directions to “ DR. SAMUEL JOHN STARKE MD” Practice Location

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