Individual provider · Type 1 NPI

Samantha J. Holsti

Medical Physician Assistant · Chicago, IL

NPI number 1114011665 Active

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Call (888) 824-0200 Map

Mailing address

150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085002595 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1114011665

Samantha J. Holsti's National Provider Identifier is 1114011665, issued on Oct 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.