Individual
SAMANTHA PENA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(847) 742-9800
Mailing address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(847) 742-9800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036141889
IL
207P00000X
Emergency Medicine Physician
35.130150
OH
Other
Enumeration date
03/27/2014
Last updated
06/25/2025
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