Individual provider · Type 1 NPI

Samantha Jerusal

Pediatric Nurse Practitioner · Chicago, IL

NPI number 1013610971 Active

Practice location

2418 W Division St
Chicago, IL 60622-2940

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X501051 (OH)
Pediatric Nurse Practitioner Primary 363LP0200X209.028195 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1013610971

Samantha Jerusal's National Provider Identifier is 1013610971, issued on Mar 22, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Sep 5, 2023.