Organization
MIDWEST ACCESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE SAMAHA M.D. (PRESIDENT)
(847) 388-2079
Entity
Organization
Contact information
Practice address
7335 YANKEE RD STE 101, LIBERTY TOWNSHIP, OH 45044-0008
(513) 779-8111
(513) 779-8999
Mailing address
3 W HAWTHORN PKWY STE 410, VERNON HILLS, IL 60061-1450
(847) 388-2079
(877) 546-7448
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201417800655
ARTICLE OF ORGANIZATION
OH
Enumeration date
07/12/2015
Last updated
07/12/2015
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