Dr. Susan Sam
Endocrinologist (Diabetes Doctor)
1740 W Taylor St Dept 3462
Chicago
, Illinois 60612-7232
Dr. Susan Sam
Endocrinologist (Diabetes Doctor)
1740 W Taylor St Dept 3462
Chicago
, Illinois 60612-7232
(312) 704-2737
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Susan Sam
- 200 W Adams St Suite 225
- Chicago, IL
- Zip : 60606-5212
- Fax : (312) 704-2737
- Phone : (312) 704-2885
Second Address
- Dr. Susan Sam
- 1740 W Taylor St Dept 3462
- Chicago, IL
- Zip : 60612-7232
- Fax : (312) 704-2737
- Phone : (312) 704-2885
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | IL |
National Provider Identifier
| NPI | 1013020759 |
|---|---|
| Provider Name | Dr. Susan Sam |
| First Address | Chicago, IL 60606-5212 |
| Second Address | Chicago, IL 60612-7232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G68804 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.