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JOVANA SAM PA-C
NPI 1568939866
Physician Assistant in Burr Ridge, IL

Active since October 25, 2018
11S250 S JACKSON ST STE 102, BURR RIDGE, IL 60527(630) 451-9503 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2022, Jan 22, 2019, Oct 25, 2018 (3 updates tracked since 2018).

About Jovana Sam Pa-c NPPES

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

JOVANA SAM PA-C (NPI 1568939866) is an individual physician assistant in Burr Ridge, Illinois, licensed in Illinois (085.006772) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1568939866
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOVANA SAMCredential: PA-C
Location Address11S250 S JACKSON ST STE 102Burr Ridge, IL 60527-6887
Mailing Address11s250 S Jackson St Ste 102Burr Ridge, IL 60527-6887 · (630) 451-9503
Phone(630) 451-9503
Sole ProprietorNo
Enumeration DateOctober 25, 2018
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1568939866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.006772
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11S250 S JACKSON ST STE 102, Burr Ridge, IL 60527
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINA N NEIS APN
Nurse Practitioner (Family)
11S250 S JACKSON ST STE 102
BURR RIDGE, IL 60527
Dupage County (630) 451-9503

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 Jovana Sam's NPI number?

The NPI number for Jovana Sam is 1568939866. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Jovana Sam located?

Jovana Sam practices at 11s250 S Jackson St Ste 102, Burr Ridge, IL 60527. The listed phone number is (630) 451-9503.

What is Jovana Sam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jovana Sam was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.