| Vicki Samuels, M.d. | |
|
1130 S Wabash Ave Suite 305 Chicago IL 60605-2372 | |
| (312) 212-1159 | |
| (312) 212-1184 |
| Full Name | Vicki Samuels, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1130 S Wabash Ave, Chicago, Illinois |
| Authorized Official Name and Position | Vicki R Samuels (PRESIDENT) |
| Authorized Official Contact | 3122121159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Samuels, M.d. 1130 S Wabash Ave Suite 305 Chicago IL 60605-2372 Ph: (312) 212-1159 | Vicki Samuels, M.d. 1130 S Wabash Ave Suite 305 Chicago IL 60605-2372 Ph: (312) 212-1159 |
| NPI Number | 1356537278 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 03/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356537278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036101746 (Illinois) | Primary |
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