Healthcare Provider Details

I. General information

NPI: 1326938697
Provider Name (Legal Business Name): SAMANTHA ROSE ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 DEMPSTER ST
PARK RIDGE IL
60068-1143
US

IV. Provider business mailing address

65 E SCOTT ST APT 3M
CHICAGO IL
60610-5268
US

V. Phone/Fax

Practice location:
  • Phone: 847-723-7705
  • Fax:
Mailing address:
  • Phone: 908-625-6939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: