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Samantha Dolph Winerman, DPM
Student in an Organized Health Care Education/Training Program in Evanston, Illinois
NPI 1265877849

Samantha Dolph Winerman is a Student in an Organized Health Care Education/Training Program based in Evanston, IL. Samantha Dolph Winerman practices in Evanston, IL and has the professional credentials of DPM. The NPI Number for Samantha Dolph Winerman is 1265877849 and holds a License No. 016005646 (Illinois).

The current practice location address for Samantha Dolph Winerman is 2500 Ridge Ave, Evanston, IL and can be reached out via phone at 847-475-9030 and via fax at 847-475-9031.

Location: 2500 Ridge Ave, Evanston, IL, 60201-2455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265877849
Provider Name
Samantha Dolph Winerman
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2500 Ridge Ave, Evanston, IL, 60201-2455
Phone Number
847-475-9030
Fax Number
847-475-9031
Provider Enumeration Date
05/08/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-475-9030
Fax Number
847-475-9031
person
Provider Business Mailing Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-475-9030
Fax Number
847-475-9031
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
135000819 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
016005646 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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