Samantha B. Conrad M.D.S.C

LBN: Samantha B. Conrad M.D.S.C
Samantha B. Conrad M.D.S.C is an health care organization with primary practice located at 360 W Butterfield Rd Suite 240, Elmhurst IL 60126-5068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Samantha B. Conrad M.D.S.C can be contacted via phone (847) 590-1500, or through Conrad, Samantha B via phone (847) 590-1500.

Contact Information

Primary practice address
360 W Butterfield Rd Suite 240 Elmhurst IL 60126-5068
Phone: (847) 590-1500
Fax: (847) 590-1500
Website:
Map and Directions
Authorized official contact:
Name: Conrad, Samantha B Doctor of Medicine (MD)
Phone: (847) 590-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036107758 Illinois

Profile Details

NPI number 1821353673
LBN Legal business name Samantha B. Conrad M.D.S.C
DBA Doing business as
Authorized official Conrad, Samantha B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2012
Last updated Aug 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821353673 NPPES
Illinois MEDICAID 036107758

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