Individual
DR. CONRAD SAMAYOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 W WILSON AVE STE 400, CHICAGO, IL 60640-5255
(773) 769-4600
(773) 769-0042
Mailing address
1945 W WILSON AVE STE 400, CHICAGO, IL 60640-5255
(773) 769-4600
(773) 769-0042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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