Individual
SAMANTHA MARIE SAGGESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-0596
(312) 695-5232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007153
IL
363AM0700X
Medical Physician Assistant
Primary
085007153
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1163422
NCCPA
—
Enumeration date
06/03/2019
Last updated
01/26/2022
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