Provider Demographics
NPI:1184425670
Name:SLIM, SAMAH SAMI (DC)
Entity type:Individual
Prefix:DR
First Name:SAMAH
Middle Name:SAMI
Last Name:SLIM
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13609 LAMON AVE APT 605
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60418-1863
Mailing Address - Country:US
Mailing Address - Phone:773-807-3023
Mailing Address - Fax:
Practice Address - Street 1:13609 LAMON AVE APT 605
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60418-1863
Practice Address - Country:US
Practice Address - Phone:773-807-3023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.014238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor