Search › Illinois › 363A00000X
Samantha Boburka, PA-C
NPI 1487939088 · on the registry since 2011
Practice
- Address
- 110 W Calendar Ave
La Grange, IL 60525 - Phone
- (708) 745-5277
- Fax
- (708) 579-2408
- Clinicians at this address
- 3
Additional practice sites
- 5201 Willow Springs Rd, La Grange Highlands, IL
- 1901 W Galena Blvd, Aurora, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-27
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