Individual
GINA SAMUELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
637 N ASPEN DR, VERNON HILLS, IL 60061-1620
(847) 990-4750
Mailing address
3203 HAMPSHIRE LN, WAUKEGAN, IL 60087-5334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007940
IL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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