HEATHER SAMUDOVSKY

SPRINGFIELD, IL
NPI1356962120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-007904)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-05-02
Last Update Date2024-03-07
Business Address
HEATHER SAMUDOVSKY PA-C
800 E CARPENTER ST
SPRINGFIELD, IL 62769-4902
Phone number: 217-544-6464
Mailing Address
HEATHER SAMUDOVSKY PA-C
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272