Search › Illinois › 133V00000X
Samar Kullab
NPI 1699305722 · on the registry since 2020
Practice
- Address
- 331 W Surf St Ste 5100
Chicago, IL 60657 - Phone
- (630) 986-2800
- Organisation at this address
- Walgreen Co
Pcac Gi Jv Llc
Refinedrx Health Pllc
Optimum Kidney Care Sc
Fabian Carbonell Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-31
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