Individual
SAMANTHA DOLPH WINERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2500 RIDGE AVE, STE 110, EVANSTON, IL 60201-2455
(847) 475-9030
(847) 475-9031
Mailing address
2500 RIDGE AVE, STE 110, EVANSTON, IL 60201-2455
(847) 475-9030
(847) 475-9031
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005646
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
135000819
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
01/16/2017
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