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General NPI Number Information
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NPI Number | 1306890728
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Entity Type | Individual
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Provider Name | EVAN J SAMETT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 8319 W NORTH AVE
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City | MELROSE PARK
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State | IL
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Zip | 60160-1605
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Country | US
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Telephone | 847-323-7166
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Fax | 312-274-1399
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Provider Business Mailing Address
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Address Line | 205 E BUTTERFIELD RD # 461
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City | ELMHURST
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State | IL
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Zip | 60126-5103
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Country | US
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Telephone | 973-552-8427
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Fax | 312-278-0354
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036074000
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 163855-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | V5598
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | V5598
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036-074000
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License Number State | IL
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