Provider Demographics
NPI:1164538161
Name:FLOSI, SAM F (DO)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:F
Last Name:FLOSI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:22 PRAIRE LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7222
Mailing Address - Country:US
Mailing Address - Phone:708-226-9646
Mailing Address - Fax:708-226-9647
Practice Address - Street 1:16609 107TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9016
Practice Address - Country:US
Practice Address - Phone:708-645-8080
Practice Address - Fax:708-645-8081
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology