Individual
DR. SAM S SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2834 N HALSTED ST, CHICAGO, IL 60657-5151
(312) 933-5155
(773) 549-4776
Mailing address
1878 N ORCHARD ST, CHICAGO, IL 60614-8923
(312) 933-5155
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-009636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634503
BCBS PROVIDOR #
IL
Enumeration date
01/26/2007
Last updated
07/08/2007
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