SAMANTHA DEMOSS

CHICAGO, IL
NPI1629605480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125.075907)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-23
Last Update Date2020-08-12
Business Address
SAMANTHA DEMOSS
1750 W HARRISON ST STE 775
CHICAGO, IL 60612-3825
Phone number: 312-942-5474
Mailing Address
SAMANTHA DEMOSS
1750 W HARRISON ST STE 775
CHICAGO, IL 60612-3825
Phone number: 312-942-5474