Individual
SEEMA R MAMTORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 COMMERCE DR STE 700, OAK BROOK, IL 60523-8865
(312) 732-4490
(312) 732-4491
Mailing address
1001 COMMERCE DR STE 700, OAK BROOK, IL 60523-8865
(312) 732-4490
(312) 732-4491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004008
IL
363AM0700X
Medical Physician Assistant
085004008
IL
Other
Enumeration date
04/05/2011
Last updated
02/06/2024
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