Individual
SAMANTHA SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, MSOM, LAC
Contact information
Practice address
300 E OGDEN AVE, NAPERVILLE, IL 60563-3159
(630) 447-0124
Mailing address
300 E OGDEN AVE, NAPERVILLE, IL 60563-3159
(630) 283-8817
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001456
IL
175F00000X
Naturopath
099.0130665
VT
Other
Enumeration date
04/02/2019
Last updated
04/17/2019
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