Individual
SAM RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 330, FORT WAYNE, IN 46845-1674
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003816A
IN
Other
Enumeration date
10/03/2022
Last updated
09/04/2025
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