Individual
MS. SAMANTHA MARIE BOBURKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 W CALENDAR AVE, LA GRANGE, IL 60525-2325
(708) 745-5277
(708) 579-2408
Mailing address
23 W CALENDAR AVE STE 207, LA GRANGE, IL 60525-6327
(708) 745-5277
(708) 579-2408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004138
IL
Other
Enumeration date
10/14/2011
Last updated
06/27/2023
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