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Contact Information

LISA ABU SAMRA, CNM
17047 LA GRANGE RD
ORLAND PARK, IL60487-7227
 Phone: 815-300-7764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for LISA ABU SAMRA · (Female)

NPI Number 1215479621
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 11/16/2016
Last updated 08/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 209015160
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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