MEDICARE: DR. SABIHA SAMEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician		IL

General Provider Information

NPI Number	:	1689679805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABIHA SAMEE MD

Provider Business Mailing Address
First Line	:	1914 72ND ST
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-3540
Country	:	US
Telephone Number	:	630-241-2039
Fax Number	:	630-241-2039

Provider Business Practice Location Address
First Line	:	1914 72ND ST
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-3540
Country	:	US
Telephone Number	:	630-241-2039
Fax Number	:	630-241-2039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/08/2007

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