| Mr Samuel Mauricio Cordova, PA-C | |
|
1259 Rickert Dr Ste 101, Naperville, IL 60540-8904 | |
| (630) 355-1300 | |
| (630) 355-3273 |
| Full Name | Mr Samuel Mauricio Cordova |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1259 Rickert Dr Ste 101, 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 |
|---|---|---|---|
| 1326137225 | NPI | - | NPPES |
| 085002213 | Medicaid | IL | |
| 970023229 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 85002213 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085002213 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Samuel Mauricio Cordova, PA-C 4300 Commerce Ct, Suite 230, Lisle, IL 60532-3698 Ph: (630) 968-1881 | Mr Samuel Mauricio Cordova, PA-C 1259 Rickert Dr Ste 101, Naperville, IL 60540-8904 Ph: (630) 355-1300 |
Jennifer Lynn Bren, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 Rollingridge Rd, Suite 201, Naperville, IL 60564 Phone: 630-967-6000 | |
Carla R. Nutter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Martin Ave Ste 225, Naperville, IL 60540 Phone: 303-355-5633 Fax: 630-355-5215 | |
Alexa Childs, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Naperville, IL 60540 Phone: 630-527-3000 | |
Jessica Waters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1460 Bond St, Naperville, IL 60563 Phone: 630-859-0120 | |
Poojan Nilesh Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Spalding Dr Ste 300, Naperville, IL 60540 Phone: 630-527-3200 | |
Aimee Naleway, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4003 S Route 59, Naperville, IL 60564 Phone: 888-693-6437 Fax: 630-432-6667 | |
Aiman Khan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 636 Raymond Dr Ste 107, Naperville, IL 60563 Phone: 630-416-2300 |