MS. Samantha Marie Boburka, PA-C

NPI #1487939088 in La Grange, Illinois

Provider Information

NPI Number: 1487939088
Entity Type: Individual
Name: MS. Samantha Marie Boburka, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 14, 2011
Last Updated: Jun 27, 2023

Practice Location

Address: 110 W CALENDAR AVE
City: La Grange
State: Illinois
ZIP Code: 60525-2325
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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