| Sheena Samra, MD | |
| 
					984 Willow Rd Ste H, Northbrook, IL 60062-6821  | |
| (888) 938-3838 | |
| (888) 919-1083 | 
| Full Name | Sheena Samra | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 984 Willow Rd Ste H, Northbrook, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336567080 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036171270 (Illinois) | Primary | 
| Entity Name | Advanced Ear Nose & Throat Specialists Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184281735 PECOS PAC ID: 0143657197 Enrollment ID: O20200304000062  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sheena Samra, MD 10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851 Ph: (888) 938-3838  | Sheena Samra, MD 984 Willow Rd Ste H, Northbrook, IL 60062-6821 Ph: (888) 938-3838  | 
Dr. David Douglas Walker, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 Skokie Blvd, Northbrook, IL 60062 Phone: 847-504-3300 Fax: 847-504-3305  | |
Judy L Chen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 Skokie Blvd, Northbrook, IL 60062 Phone: 847-504-3300  | |
Joseph R. Raviv, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 Skokie Blvd, Northbrook, IL 60062 Phone: 847-504-3300 Fax: 847-504-3305  |