Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Samuel Mauricio Cordova, PA-C

Individual provider Surgical Physician Assistant · NPI 1326137225

Mr. Samuel Mauricio Cordova, PA-C is a Physician Assistant in Naperville, Illinois. Qualified in 2003, 23 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1259 Rickert Dr Ste 101
Naperville, IL 60540-8904
Phone: (630) 355-1300
Fax: (630) 355-3273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002213 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 85002213 (IL)

Record details

NPI number1326137225
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESDecember 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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