Hathaway, Samantha Cecile

Hathaway, Samantha Cecile is an individual health care provider with primary practice located at 12632 S Harlem Ave , Palos Heights IL 60463-1428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hathaway, Samantha Cecile can be contacted via phone (708) 587-0000.

Contact Information

Primary practice address
12632 S Harlem Ave Palos Heights IL 60463-1428
Phone: (708) 587-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012018757 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012018757 Missouri

Profile Details

NPI number 1497018477
LBN Legal business name Hathaway, Samantha Cecile
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2012
Last updated Dec 20th, 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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