Search › Illinois › 171W00000X
Samaro Colvard
NPI 1215688023 · on the registry since 2022 · sole proprietor
Practice
- Address
- 323 Prairie Ave
Calumet City, IL 60409 - Phone
- (773) 727-4370
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-12
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