Individual
SAMUEL L MACAGBA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 503-3857
(708) 503-3806
Mailing address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 503-3857
(708) 503-3806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036059682
IL
207L00000X
Anesthesiology Physician
Primary
036059682
IL
Other
Enumeration date
06/10/2006
Last updated
08/11/2011
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