Individual provider · Type 1 NPI
Jeremy Samuel
Acute Care Nurse Practitioner · Chicago, IL
NPI number
1023923562
Active
Practice location
1620 W Harrison St
Chicago, IL 60612-3801
Mailing address
13350 Brittany Dr
Orland Park, IL 60462-1316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 041527064 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1023923562
Jeremy Samuel's National Provider Identifier is 1023923562, issued on Aug 18, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Chicago, IL. The record was last updated on Aug 18, 2026.