Individual
DR. SAMIA M SULEIMAN-ATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
13600 ROUTE 59, SUITE 2, PLAINFIELD, IL 60544
(779) 939-0010
(630) 778-2070
Mailing address
13600 ROUTE 59, SUITE 2, PLAINFIELD, IL 60544
(779) 939-0010
(630) 778-2070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029448
IL
1223P0300X
Periodontics
Primary
021.002785
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564197
UNITED CONCORDIA
IL
01
—
62113329
BLUE CROSS BLUE SHIELD AL
AL
01
—
AAFDEN3BBS
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
06/19/2013
Last updated
11/29/2023
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