Individual
DR. STEFANI SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4100
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4100
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036158274
IL
2080P0202X
Pediatric Cardiology Physician
Primary
303471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036158274
—
IL
05
—
2429124
—
LA
Enumeration date
06/22/2010
Last updated
08/06/2026
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