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Contact Information

SAMANTHA WHITE, APN
1276 N CLYBOURN AVE
CHICAGO, IL60610-2089
 Phone: 312-337-1073
 Fax: 312-337-7460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SAMANTHA WHITE · (Female)

NPI # 1255584348
Status Active
Credentials APN
Entity Individual
Enumeration date 11/03/2008
Last updated 03/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 041.372117
  • IL License # 209017043
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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