Individual
SAMUEL ROMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5892 S ARCHER AVE, CHICAGO, IL 60638-1658
(773) 424-2582
Mailing address
2534 S 9TH AVE, NORTH RIVERSIDE, IL 60546-1115
(630) 660-1041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036091
IL
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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