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General NPI Number Information
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NPI Number | 1699111401
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Entity Type | Organization
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Legal Business Name | EVAN J. SAMETT M.D.S.C.
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 02/05/2024
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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 | 312-278-0354
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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 | PRESIDENT
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Name | DR. EVAN J SAMETT
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Credential | M.D.
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Telephone | 847-323-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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