Individual provider · Type 1 NPI

Samantha Moore

Gerontology Nurse Practitioner · Oak Park, IL

NPI number 1295626406 Active

Practice location

101 Madison St
Oak Park, IL 60302-4278

Mailing address

1655 Highland Blvd
Hoffman Estates, IL 60169

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X209-032478 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1295626406

Samantha Moore's National Provider Identifier is 1295626406, issued on Jul 14, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oak Park, IL. The record was last updated on Jul 14, 2025.