Liem, Samantha Kozak

Liem, Samantha Kozak is an individual health care provider with primary practice located at 1415 S Arlington Heights Rd , Arlington Heights IL 60005-3765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Liem, Samantha Kozak can be contacted via phone (847) 439-1005.

Contact Information

Primary practice address
1415 S Arlington Heights Rd Arlington Heights IL 60005-3765
Phone: (847) 439-1005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209017903 Illinois

Profile Details

NPI number 1275979312
LBN Legal business name Liem, Samantha Kozak
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Jun 19th, 2023 - about last year

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 1275979312 NPPES
Wisconsin MEDICAID 1275979312

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