Individual provider · Type 1 NPI

Samantha Klosak, PA

Surgical Physician Assistant · Downers Grove, IL

NPI number 1932709706 Active

Practice location

2801 Finley Rd Ste 220
Downers Grove, IL 60515-1039

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 8144 Old Mill Rd, Frankfort, IL 60423-8675 · (815) 666-6774

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085008117 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X085-008117 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1932709706

Samantha Klosak, PA's National Provider Identifier is 1932709706, issued on Oct 29, 2020. 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 Oct 9, 2024.