Individual
SAMUEL WHITSEDIE ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 754-9404
Mailing address
301 CHESHIRE DR APT 182, KNOXVILLE, TN 37919-5857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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