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Individual

SAMUEL WAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 OGDEN AVE, RUSH COPLEY MEMORIAL HOSPITAL, AURORA, IL 60504-7222
(630) 978-6200
Mailing address
185 PENNY AVE, SUITE D, EAST DUNDEE, IL 60118-1454
(847) 836-7015
(847) 428-9291

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036078892
IL

Other

Enumeration date
05/04/2006
Last updated
08/06/2008
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