Individual
SAMANTHA KOHEN JOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3021 FALLING WATERS BLVD STE A, LINDENHURST, IL 60046-6745
(847) 356-9300
Mailing address
813 ASPEN DR, BUFFALO GROVE, IL 60089-1314
(847) 612-1830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006011
IL
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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