Dr. Shoji Olivo Samson
DO | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Shoji Olivo Samson, DO is a Peoria, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Shoji Olivo Samson is
530 Ns Glen Oak Avenue, Peoria, Illinois - 61637-0001. He can be contacted on phone at
309-624-2896 and fax number 309-655-2974.
Dr. Shoji Olivo Samson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shoji Olivo Samson is
1831504067 which was assigned by NPPES on 26 Jun, 2014 and it was last updated on 04 Jan, 2022.
Dr. Shoji Olivo Samson license number is
036152483 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Dr. Shoji Olivo Samson is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Shoji Olivo Samson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Shoji Olivo Samson |
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| Credential : | DO |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Shoji Olivo Samson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ns Glen Oak Avenue
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-624-2896 |
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| Fax Number : | 309-655-2974 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831504067 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2014 |
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| Last Updated On : | 04 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shoji Olivo Samson are as mentioned. Primary taxonomy code for Dr. Shoji Olivo Samson, DO is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036152483 | IL |
| 208000000X | Pediatrics | No | 288816 | NY |
| 208000000X | Pediatrics | No | DO-05910 | IA |
| 208000000X | Pediatrics | No | S0375 | TX |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 036152483 | IL |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | S0375 | TX |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 288816 | NY |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | DO-05910 | IA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
507 E ARMSTRONG AVE,
PEORIA, IL, 61603-3201
United States | PEORIA, IL | 309-681-9690 |
2200 E WASHINGTON ST,
BLOOMINGTON, IL, 61701-4364
United States | BLOOMINGTON, IL | 309-662-3311 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 530 Ns Glen Oak Avenue
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 096-242-8963 |
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Business Location:
Patients can refer following map for directions to
Dr. Shoji Olivo Samson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.