Biafora, Sam J

Biafora, Sam J is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Biafora, Sam J can be contacted via phone (815) 356-5200.

Contact Information

Primary practice address
420 N Il Route 31 Crystal Lake IL 60012-3711
Fax: (815) 356-5262
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036-115378 Illinois

Profile Details

NPI number 1205037991
LBN Legal business name Biafora, Sam J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Aug 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205037991 NPPES
Illinois MEDICAID 036115378

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