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Search › Illinois › 103K00000X

Kendall Ryndak Samuel, BCBA

NPI 1285145987 · on the registry since 2017

Practice

Address
1725 S Naperville Rd Ste 110
Wheaton, IL 60189
Phone
(630) 793-8404
Organisation at this address
Brian Timothy Madvig
Genesis Clinical Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Additional practice sites

  • 411 E Geneva Rd, Carol Stream, IL
  • 910 Roosevelt Rd, Glen Ellyn, IL

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-29

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