Individual provider · Type 1 NPI
Samantha Carrie Israel, A.P.N
Family Nurse Practitioner · Chicago, IL
NPI number
1457714479
Active
Practice location
5841 S Maryland Ave, MC# 4028
Chicago, IL 60637-1447
Mailing address
180 Harvester Dr, Suite 110
Burr Ridge, IL 60527-7594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.380310 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.014110 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457714479
Samantha Carrie Israel, A.P.N's National Provider Identifier is 1457714479, issued on Mar 29, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2016.