Lookup NPI Numbers from the NPI Registry
NPI Profile for SAMANTHA KLOSAK in DOWNERS GROVE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1932709706 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 10/29/2020 | |
| Last updated | 10/09/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SAMANTHA KLOSAK
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SAMANTHA KLOSAK, PA