DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANTHARAJ SAMUEL M.D.,S.C.

MEDICARE: SHANTHARAJ SAMUEL M.D.,S.C.
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
1174400000XSpecialistIL

General Provider Information

NPI Number : 1831375559
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHANTHARAJ SAMUEL M.D.,S.C.
Provider Business Mailing Address
First Line : 3942 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 773-736-6220
Fax Number :
Provider Business Practice Location Address
First Line : 3942 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 773-736-6220
Fax Number :
Authorized Official
Title or Position : PEDIATRICIAN
Name : DR. SHANTHARAJ SAMUEL
Credential : M.D.
Telephone Number : 773-736-6220
Provider Enumeration Date : 01/11/2008
Last Update Date : 01/11/2008

Similar Medicare Providers

1710921382 — DR. JOHN F KANE DPM
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 773-685-3933
Practice Fax: 773-685-2416
1982775433 — DR. DREW MANSON DDS
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 773-685-3933
Practice Fax:
1740494996 — DR JOHN F KANE INC
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 773-685-3933
Practice Fax: 773-685-2416
1033386107 — DREW MANSON
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 773-685-3933
Practice Fax:
1194042614 — KNODEL ENTERPRISES
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 224-595-1096
Practice Fax: 773-685-2416
1740507524 — RC SERVICES AND RENTALS, LLC
Practice Location Address:
3936 N CENTRAL AVE
CHICAGO, IL
60634-2732
Practice Phone: 773-941-3723
Practice Fax:

Directions to “SHANTHARAJ SAMUEL M.D.,S.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.