National Provider Identifier Database

SAMUEL M CORDOVA, PA-C – NPI #1326137225
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SAMUEL M CORDOVA, PA-C
1259 RICKERT DR STE 101
NAPERVILLE, IL60540-8904
Phone: 630-355-1300
Fax: 630-355-3273
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for SAMUEL M CORDOVA

NPI Number 1326137225
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/11/2006
Last updated 12/13/2012 - About 13 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 085002213
  • IL License #: 85002213
  • IL Medicaid: 085002213
  • IL Other: 970023229 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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