Samantha Brooke Mackay-Forton
Samantha Brooke Mackay-Forton is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Park Ridge, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 125.082838 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1497492128 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2022 |
| Last updated in NPPES | July 10, 2023 |
| Certification date | June 14, 2023 |
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