Samantha Quinn Earley, DO | |
801 S Washington St, Naperville, IL 60540-7430 | |
(847) 318-9300 | |
Not Available |
Full Name | Samantha Quinn Earley |
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Gender | Female |
Speciality | Pediatrics |
Location | 801 S Washington St, Naperville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144647520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125066054 (Illinois) | Secondary |
208000000X | Pediatrics | 69321 (Connecticut) | Secondary |
208000000X | Pediatrics | 036143711 (Illinois) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
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Samantha Quinn Earley, DO 365 Montauk Ave, New London, CT 06320-4700 Ph: (203) 785-4651 | Samantha Quinn Earley, DO 801 S Washington St, Naperville, IL 60540-7430 Ph: (847) 318-9300 |
Rajeev S Dixit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S Washington, Naperville, IL 60566 Phone: 847-991-0440 Fax: 847-991-0441 | |
Lina Bourjas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 636 Raymond Dr Ste 205, Naperville, IL 60563 Phone: 630-717-2300 | |
Robin Kalish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Millennium Pediatrics, 1012 95th St, Naperville, IL 60564 Phone: 630-548-1100 Fax: 630-236-4280 | |
Mark Joseph Brinkman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 Raymond Drive, Suite 205, Naperville, IL 60563 Phone: 630-717-2300 Fax: 630-717-9638 | |
Dr. Chad Christopher Olsen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1012 95th St, Naperville, IL 60564 Phone: 630-548-1100 Fax: 630-428-4211 | |
Waddah J Hashem, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1315 Macom Dr, Ste 206, Naperville, IL 60564 Phone: 630-978-7015 Fax: 630-978-7043 | |
Karolyn Diane Law, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1331 W 75th Street, Suite 300, Naperville, IL 60540 Phone: 630-355-0003 Fax: 630-355-9822 |