Provider Demographics
NPI:1487814695
Name:NAVIK, SAMIR H (MD)
Entity type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:H
Last Name:NAVIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:BLDG-103 RM-3102
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-6462
Mailing Address - Fax:708-216-1249
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:BLDG-103 RM-3102
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-6462
Practice Address - Fax:708-216-1249
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127069207L00000X
IL125052399207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology