Individual
SAMIKA BASKERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 CHATHAM RD STE 6004, SPRINGFIELD, IL 62704-4188
(217) 291-8880
Mailing address
9758 S LUELLA AVE, CHICAGO, IL 60617-4864
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
IL
246RP1900X
Phlebotomy Technician
Primary
—
IL
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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