NPI 1336522622

Samantha Ross

Practitioner Contractor Naperville, IL

Practice location

Address: 800 W 5th Ave STE. 102 a, Naperville, IL 60563-8965
Phone: (630) 639-1655

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in Illinois →

Registry record

NPI: 1336522622
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2015
Record last updated: 4 Jul 2015

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.