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NPI Code Detail

MEDICARE: SAMANTHA RAMOS

MEDICARE: SAMANTHA RAMOS
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
1101YP2500XProfessional Counselor180.013884IL

General Provider Information

NPI Number : 1528533197
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA RAMOS
Provider Business Mailing Address
First Line : 630 N NORTH CT
Second Line :
City : PALATINE
State : IL
Zip : 60067-8122
Country : US
Telephone Number : 708-789-5669
Fax Number :
Provider Business Practice Location Address
First Line : 630 N NORTH CT
Second Line :
City : PALATINE
State : IL
Zip : 60067-8122
Country : US
Telephone Number : 708-789-5669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 02/04/2025

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Directions to “ SAMANTHA RAMOS ” Practice Location

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