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Individual

MS. KERBY ASHLEY SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
2312 W DICKENS AVE, APT 1F, CHICAGO, IL 60647-4260
(302) 584-0867

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125057719
IL

Other

Enumeration date
05/25/2010
Last updated
05/25/2010
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