Individual
SCOTT R. SAMLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
4217 TERRI LYN LANE, NORTHBROOK, IL 60062
(312) 404-9945
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01066568A
IN
207P00000X
Emergency Medicine Physician
Primary
036114902
IL
Other
Enumeration date
07/23/2006
Last updated
05/10/2019
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