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Individual

DR. MICHAEL L. SAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., P.T.

Contact information

Practice address
1020 E OGDEN AVE STE 304, NAPERVILLE, IL 60563-8611
(630) 268-0200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008016307
MO
207RR0500X
Rheumatology Physician
Primary
036132557
IL
225100000X
Physical Therapist
070011305
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036132557
IL
Enumeration date
08/18/2005
Last updated
08/18/2023
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