Individual
GREGORY SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 538-4934
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-3003
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036144692
IL
207L00000X
Anesthesiology Physician
ME126947
FL
207L00000X
Anesthesiology Physician
TRN# 17724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019870100
—
FL
Enumeration date
06/14/2012
Last updated
01/20/2023
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