Bloodgood, Samantha
Bloodgood, Samantha is an sole proprietor health care provider with primary practice located at 2604 Dempster St Ste 501 , Park Ridge IL 60068-8429. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bloodgood, Samantha can be contacted via phone (847) 674-5585.Contact Information
Primary practice address
2604 Dempster St Ste 501
Park Ridge IL 60068-8429
Phone: (847) 674-5585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147.001985 | Illinois |
Profile Details
| NPI number | 1194593079 |
|---|---|
| LBN Legal business name | Bloodgood, Samantha |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2023 |
| Last updated | May 8th, 2024 - about 6 months 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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