NPI 1205463528

Samantha Y Cerasiello, MD

Practitioner Otolaryngology Physician Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (708) 216-1676

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 125.075916 (IL)

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Registry record

NPI: 1205463528
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2020
Record last updated: 1 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.