Samett, Evan

Samett, Evan is an individual health care provider with primary practice located at 8319 W North Ave , Melrose Park IL 60160-1605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Samett, Evan can be contacted via phone (847) 323-7166.

Contact Information

Primary practice address
8319 W North Ave Melrose Park IL 60160-1605
Phone: (847) 323-7166
Fax: (312) 274-1399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036074000 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036-074000 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 163855-1 New York

Profile Details

NPI number 1306890728
LBN Legal business name Samett, Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 20th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306890728 NPPES
Illinois MEDICAID 0360740004

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