Individual
DR. SHOJI OLIVO SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
530 NS GLEN OAK AVENUE, PEORIA, IL 61637-0001
(096) 242-8963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036152483
IL
208000000X
Pediatrics Physician
288816
NY
208000000X
Pediatrics Physician
DO-05910
IA
208000000X
Pediatrics Physician
S0375
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036152483
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
288816
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
DO-05910
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
S0375
TX
Other
Enumeration date
06/26/2014
Last updated
03/25/2026
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