Search › Illinois › 101Y00000X
Samantha Corey
NPI 1417708207 · on the registry since 2024 · sole proprietor
Practice
- Address
- 7479 Walton St Ste 4
Rockford, IL 61108 - Phone
- (331) 701-3520
- Organisation at this address
- National Youth Advocate Program, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2024-03-29
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