Individual provider · Type 1 NPI

Corazon Tansioco Sambo, MD

Surgical Physician Assistant · Downers Grove, IL

NPI number 1417228669 Active

Practice location

1619 Concord Dr
Downers Grove, IL 60516-3123

Call (630) 969-6476 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X036.054252 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1417228669

Corazon Tansioco Sambo, MD's National Provider Identifier is 1417228669, issued on Jan 19, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Downers Grove, IL. The record was last updated on Jan 19, 2012.