Boburka, Samantha Marie
Boburka, Samantha Marie is an individual health care provider with primary practice located at 110 W Calendar Ave , La Grange IL 60525-2325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boburka, Samantha Marie can be contacted via phone (708) 745-5277.Contact Information
Primary practice address
110 W Calendar Ave
La Grange IL 60525-2325
Phone: (708) 745-5277
Fax: (708) 579-2408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085004138 | Illinois |
Profile Details
| NPI number | 1487939088 |
|---|---|
| LBN Legal business name | Boburka, Samantha Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2011 |
| Last updated | Jun 27th, 2023 - about 2 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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