Individual provider · Type 1 NPI
Samantha Jaye Gatewood, NP
General Practice Physician · Chicago, IL
NPI number
1992390397
Active
Practice location
600 W Chicago Ave Ste 1
Chicago, IL 60654-2802
Mailing address
600 W Chicago Ave
Chicago, IL 60654-2801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 209022251 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1992390397
Samantha Jaye Gatewood, NP's National Provider Identifier is 1992390397, issued on Mar 8, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2024.