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Samantha Jane Dial, MD
Neurology Physician in Springfield, Illinois
NPI 1669767562

Samantha Jane Dial is a Neurology Physician based in Springfield, IL and is specialized in Neurology. Samantha Jane Dial practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Samantha Jane Dial is 1669767562 and holds a License No. 11016216A (Illinois).

The current practice location address for Samantha Jane Dial is 415 N 9Th St, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-8115.

Location: 415 N 9Th St, Springfield, IL, 62702-5303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669767562
Provider Name
Samantha Jane Dial
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
415 N 9Th St, Springfield, IL, 62702-5303
Phone Number
217-545-8000
Fax Number
217-545-8115
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036140151 05 IL
institution
Provider Business Practice Location Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-545-8115
person
Provider Business Mailing Address Details
Address
415 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-545-8115
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
036-140151 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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.
11016216A (Indiana)
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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