Individual provider · Type 1 NPI

Charles Samuel, NP

Nurse Practitioner · Mount Prospect, IL

NPI number 1376158444 Active

Practice location

280 N Westgate Rd Apt 222
Mount Prospect, IL 60056-2661

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.021993 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376158444

Charles Samuel, NP's National Provider Identifier is 1376158444, issued on Sep 15, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Prospect, IL. The record was last updated on Sep 15, 2020.