LEILANI SAMPANG

MAYWOOD, IL
NPI1952987828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.078346)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-22
Last Update Date2021-05-28
Business Address
LEILANI SAMPANG MD
2160 S 1ST AVE RM 3107
MAYWOOD, IL 60153-3328
Phone number: 708-267-5375
Mailing Address
LEILANI SAMPANG MD
2160 S 1ST AVE RM 3107
MAYWOOD, IL 60153-3328
Phone number: 708-216-9169