Individual
MS. SAMANTHA LYNN BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY, SWANSEA, IL 62226-2355
(618) 235-3687
(618) 239-9429
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 235-3687
(618) 239-9429
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147012286
IL
231H00000X
Audiologist
Primary
2022030617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330113440
—
MO
Enumeration date
08/08/2022
Last updated
02/20/2026
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