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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA IKEDA ING

Deactivated Sole Proprietor

SAMANTHA IKEDA ING is a Gastroenterology healthcare provider located in CHICAGO, Illinois. NPI 1306328661 is deactivated in the NPPES registry. Verify at CMS.

Gastroenterology · CHICAGO, IL

This NPI has been deactivated. The record was deactivated on April 2, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1306328661
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2018 (1.5765027322404 yrs)
Last Updated
Jun 9, 2023
Deactivated
Apr 2, 2020
License
036.164102 (IL)
Sole Proprietor
Yes

Practice Information

Address
5841 S MARYLAND AVE STE MC6098
CHICAGO, IL, 606371448
Browse IL providers · Browse ZIP 60637
Phone
7737020963
Primary Specialty
Gastroenterology
207RG0300X

Other Gastroenterology Providers in CHICAGO, IL

Name Credential NPI
RICARDO MACHADO MD 1700879434
DR. FIDEL E CASTILLO DIAZ MD 1689667347
SIMEON A SEVANDAL JR. MD 1528052735
ANNIE JOHN M.D. 1225013998
ROBERT ALLAN ALTER M.D. 1821064585
JOHN ARTHUR WILEY M.D. 1487612834
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.