Individual
MR. JOSEPH BRADLEY SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006671
IL
Other
Enumeration date
06/28/2018
Last updated
09/13/2018
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