Search › Illinois › 1223G0001X
Angie Samuel
NPI 1134377468 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6083 Indian Trail Rd
Gurnee, IL 60031 - Phone
- (248) 345-3199
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-06
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