Gianakas, Samantha

Gianakas, Samantha is an individual health care provider with primary practice located at 520 S Maple Ave , Oak Park IL 60304-1022. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gianakas, Samantha can be contacted via phone (708) 660-6306.

Contact Information

Primary practice address
520 S Maple Ave Oak Park IL 60304-1022
Phone: (708) 660-6306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164007556 Illinois

Profile Details

NPI number 1295344091
LBN Legal business name Gianakas, Samantha
Credentials MS, RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295344091 NPPES
Illinois MEDICAID 164007556

Popular Providers