Chirunomula, Samantha

Chirunomula, Samantha is an individual health care provider with primary practice located at 912 S Wood St Rm 137 , Chicago IL 60612-4300. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Chirunomula, Samantha can be contacted via phone (312) 996-2019.

Contact Information

Primary practice address
912 S Wood St Rm 137 Chicago IL 60612-4300
Phone: (312) 996-2019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036.154949 Illinois

Profile Details

NPI number 1639524119
LBN Legal business name Chirunomula, Samantha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated Sep 16th, 2021 - about 4 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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