Individual
MS. SAMATA J SHROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2520 ELISHA AVENUE, ZION, IL 60099
(847) 872-6259
(847) 872-5716
Mailing address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(847) 746-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002527
IL
363A00000X
Physician Assistant
Primary
085.002527
IL
Other
Enumeration date
05/02/2007
Last updated
03/17/2015
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