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Individual

DR. CORAZON TANSIOCO SAMBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1619 CONCORD DR, DOWNERS GROVE, IL 60516-3123
(630) 969-6476
Mailing address
1619 CONCORD DR, DOWNERS GROVE, IL 60516-3123
(630) 969-6476

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
036.054252
IL

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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