Healthcare Provider Details

I. General information

NPI: 1942118633
Provider Name (Legal Business Name): SAMANTHA MUSILEK HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 N RIVER RD STE 203
NAPERVILLE IL
60563-8968
US

IV. Provider business mailing address

648 N RIVER RD STE 203
NAPERVILLE IL
60563-8968
US

V. Phone/Fax

Practice location:
  • Phone: 630-937-9390
  • Fax: 630-937-9150
Mailing address:
  • Phone: 630-937-9390
  • Fax: 630-937-9150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3595
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: