Sams, Gregory
Sams, Gregory is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sams, Gregory can be contacted via phone (708) 538-4934.Contact Information
Primary practice address
701 W North Ave
Melrose Park IL 60160-1612
Phone: (708) 538-4934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | TRN# 17724 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME126947 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036144692 | Illinois |
Profile Details
| NPI number | 1881956936 |
|---|---|
| LBN Legal business name | Sams, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Jan 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881956936 | NPPES |
| Florida | MEDICAID | 019870100 |
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