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NPI Code Detail

MEDICARE: SAMANTHA MICHELLE ADKINS

MEDICARE:   SAMANTHA MICHELLE ADKINS
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
1235Z00000XSpeech-Language Pathologist146016215IL

General Provider Information

NPI Number : 1720697279
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA MICHELLE ADKINS
Provider Business Mailing Address
First Line : 233 BIRMINGHAM CT
Second Line :
City : ROSELLE
State : IL
Zip : 60172-4781
Country : US
Telephone Number : 630-709-2452
Fax Number :
Provider Business Practice Location Address
First Line : 2555 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1768
Country : US
Telephone Number : 312-650-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 03/12/2025

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Directions to “ SAMANTHA MICHELLE ADKINS ” Practice Location

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