Individual
ANUVESHA SAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2723 SHERIDAN RD, SUITE # C, ZION, IL 60099-2616
(847) 360-4260
Mailing address
4235 CORAL BERRY PATH, APPARTMENT # 202, GURNEE, IL 60031-9321
(424) 201-4721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.129206
IL
Other
Enumeration date
02/16/2011
Last updated
01/10/2022
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