Search › Illinois › 225100000X
Samuel Tambago, DPT
NPI 1023430691 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2224 Misty Creek Trl
Bolingbrook, IL 60490 - Phone
- (714) 417-6155
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois