Leilani Sampang, MD
Anesthesiology in Maywood, IL. Individual provider (NPI-1).
NPI number1952987828
StatusActive
Last updated in NPPESMay 28, 2021
Details
- NPI
- 1952987828
- Entity type
- Individual (NPI-1)
- Name
- Leilani Sampang
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- May 28, 2021
- Last updated
- May 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 125.078346 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st Ave Rm 3107Maywood, IL 60153-3328
Phone 708-267-5375 · Fax 708-216-1249
Mailing address
2160 S 1st Ave Rm 3107Maywood, IL 60153-3328
Phone 708-216-9169 · Fax 708-216-1249
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