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1043262447
SAMUEL R EBY
FORT WAYNE, IN
NPI
1043262447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine Nephrology
(Licence: IN 01032985)
Enumeration Date
2006-05-16
Last Update Date
2020-11-16
Business Address
SAMUEL R EBY MD
7836 W JEFFERSON BLVD STE 100
FORT WAYNE, IN 46804-4165
Phone number: 260-494-3484
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Mailing Address
SAMUEL R EBY MD
120 W 22ND ST STE 200
OAK BROOK, IL 60523-1563
Phone number: 630-575-5000
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