Individual
LISA ABU-SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
17047 LA GRANGE RD, ORLAND PARK, IL 60487-7227
(815) 300-7764
Mailing address
1890 SILVER CROSS BLVD STE 315, NEW LENOX, IL 60451-9605
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209015160
IL
Other
Enumeration date
11/16/2016
Last updated
08/27/2024
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