Marek, Samantha Mary
Marek, Samantha Mary is an sole proprietor health care provider with primary practice located at 460 Quail Ridge Dr , Westmont IL 60559-6145. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Marek, Samantha Mary can be contacted via phone (630) 986-2800.Contact Information
Primary practice address
460 Quail Ridge Dr
Westmont IL 60559-6145
Phone: (630) 986-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 164.005682 | Illinois |
Profile Details
| NPI number | 1902157191 |
|---|---|
| LBN Legal business name | Marek, Samantha Mary |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2012 |
| Last updated | May 19th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902157191 | NPPES |
| Illinois | Other | 164.005682 | LICENSE # |
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