Individual
SAMANTHA R ADAMCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1259 RICKERT DR STE 101, NAPERVILLE, IL 60540-8904
(630) 790-1872
(630) 355-3273
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003922
IL
363AM0700X
Medical Physician Assistant
085003922
IL
363AS0400X
Surgical Physician Assistant
085003922
IL
Other
Enumeration date
11/08/2010
Last updated
05/03/2024
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