Most Relevant Information
Provider Data
| NPI Number: | 1003364035 |
| Provider Name: | SAMANTHA BERTA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149018461 |
Most Important Dates
| Enumeration Date: | 09/20/2016 |
| Last Updated: | 09/20/2016 |
Provider Practice Location
3706 W CULLOM AVE
#2
CHICAGO
IL
606182005
Practice Location Phone/Fax
| Phone: | 8159555229 |
| Fax: |
Provider Mailing Location
3706 W CULLOM AVE
#2
CHICAGO
IL
606182005
Provider Mailing Phone/Fax
| Phone: | 8159555229 |
| Fax: |