Samore, Elizabeth Ann
Samore, Elizabeth Ann is an individual health care provider with primary practice located at 320 Lake St , Oak Park IL 60302-2612. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Samore, Elizabeth Ann can be contacted via phone (708) 848-0528.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1518013432 |
|---|---|
| LBN Legal business name | Samore, Elizabeth Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518013432 | NPPES |
| Illinois | MEDICAID | 1003580 |
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