Individual
DR. SAMUEL J MULTACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4001 VOLLMER RD, OLYMPIA FIELDS, IL 60461-3168
(708) 747-4000
Mailing address
2929 SOUTHWIND DR, NEW LENOX, IL 60451-9251
(815) 462-1962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-124776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124776
—
IL
Enumeration date
05/30/2008
Last updated
06/29/2012
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