Individual
SAMANTHA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 5TH AVE, STE. 102 A, NAPERVILLE, IL 60563-8965
(630) 639-1655
Mailing address
800 W 5TH AVE, STE. 102 A, NAPERVILLE, IL 60563-8965
(630) 639-1655
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/04/2015
Last updated
07/04/2015
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