Provider Demographics
NPI:1649618448
Name:JAMES, SAMANTHA FRANCES
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:FRANCES
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8224 44TH PL
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:IL
Mailing Address - Zip Code:60534-1703
Mailing Address - Country:US
Mailing Address - Phone:708-447-6015
Mailing Address - Fax:
Practice Address - Street 1:8224 44TH PL
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:IL
Practice Address - Zip Code:60534-1703
Practice Address - Country:US
Practice Address - Phone:708-447-6015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist