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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881956936 NPPES
Florida MEDICAID 019870100

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