Samantha Mizock, LCPC

NPI 1255051892 · on the registry since 2022

Practice

Address: 1550 N Northwest Hwy Ste 360
Park Ridge, IL 60068
Phone: (847) 299-3400
Organisation at this address: David M. Marks
Life Medical Sc
Apuram Care Inc.
Active Health Ltd
Lm Prasad M.D S.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 43

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Also registered as: 103TR0400X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-29

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