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DR. CORAZON TANSIOCO SAMBO M.D.
NPI 1417228669
Physician Assistant - Surgical in Downers Grove, IL

Active since January 19, 2012
1619 CONCORD DR, DOWNERS GROVE, IL 60516(630) 969-6476 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Corazon Tansioco Sambo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CORAZON TANSIOCO SAMBO M.D. (NPI 1417228669) is an individual surgical provider in Downers Grove, Illinois, licensed in Illinois (036.054252) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1417228669
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDR. CORAZON TANSIOCO SAMBOCredential: M.D.
Location Address1619 CONCORD DRDowners Grove, IL 60516-3123
Mailing Address1619 Concord DrDowners Grove, IL 60516-3123 · (630) 969-6476
Phone(630) 969-6476
Sole ProprietorYes
Enumeration DateJanuary 19, 2012
✔ NPI 1417228669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 036.054252
1619 CONCORD DR, Downers Grove, IL 60516
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corazon Sambo's NPI number?

The NPI number for Corazon Sambo is 1417228669. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Corazon Sambo located?

Corazon Sambo practices at 1619 Concord Dr, Downers Grove, IL 60516. The listed phone number is (630) 969-6476.

What is Corazon Sambo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Corazon Sambo was last updated on January 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.