Search › Illinois › 235Z00000X
Samantha Black, MA CCC-SLP/L
NPI 1104416700 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1510 E 55th St
Chicago, IL 60615 - Phone
- (219) 363-8498
- Organisation at this address
- Project Brotherhood
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois