| Ms Samantha Marie Boburka, PA-C | |
|
110 W Calendar Ave, La Grange, IL 60525-2325 | |
| (708) 745-5277 | |
| (708) 579-2408 |
| Full Name | Ms Samantha Marie Boburka |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 110 W Calendar Ave, La Grange, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487939088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085004138 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Samantha Marie Boburka, PA-C 23 W Calendar Ave Ste 207, La Grange, IL 60525-6327 Ph: (708) 745-5277 | Ms Samantha Marie Boburka, PA-C 110 W Calendar Ave, La Grange, IL 60525-2325 Ph: (708) 745-5277 |
Karen Fu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 31 E Ogden Ave Unit 118, La Grange, IL 60525 Phone: 720-470-6427 | |
Richard A Disanto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5201 Willow Springs Rd, La Grange, IL 60525 Phone: 708-579-0018 Fax: 708-579-7571 | |
Tracy Bongiorno, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Rd, Unit 3s, La Grange, IL 60525 Phone: 708-482-1099 Fax: 708-482-0335 | |
Ms. Kelsey York, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 W 47th St, La Grange, IL 60525 Phone: 708-579-9375 Fax: 708-579-9378 |