Mizock, Samantha
Mizock, Samantha is an individual health care provider with primary practice located at 1001 Rohlwing Rd , Elk Grove Village IL 60007-3217. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Mizock, Samantha can be contacted via phone (847) 524-8800.Contact Information
Primary practice address
1001 Rohlwing Rd
Elk Grove Village IL 60007-3217
Phone: (847) 524-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 596721 | Illinois |
Profile Details
| NPI number | 1255051892 |
|---|---|
| LBN Legal business name | Mizock, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2022 |
| Last updated | Sep 1st, 2022 - about 3 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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