SAMUEL ASSAM

CHICAGO, IL
NPI1881323905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209024296)
Enumeration Date2022-06-06
Last Update Date2023-09-12
Business Address
SAMUEL ASSAM P
213 N MORGAN ST UNIT 1D
CHICAGO, IL 60607-1721
Phone number: 312-888-2986
Mailing Address
SAMUEL ASSAM P
486 W BOUGHTON RD # B
BOLINGBROOK, IL 60440-2399
Phone number: 630-566-2090
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