Individual
MRS. MICHELLE MARIE SAMPOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
PO BOX 9046, PONCE, PR 00732-9046
(787) 900-4307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
08/02/2025
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