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Samantha Jerusal
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1013610971

Samantha Jerusal is a Pediatric Nurse Practitioner based in Chicago, IL and is specialized in Pediatrics. Samantha Jerusal practices in Chicago, IL. The NPI Number for Samantha Jerusal is 1013610971 and holds a License No. 501051 (Illinois).

The current practice location address for Samantha Jerusal is 2418 W Division St, Chicago, IL and can be reached out via phone at 312-666-3494.

Location: 2418 W Division St, Chicago, IL, 60622-2940
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Provider Profile Details
NPI Number
1013610971
Provider Name
Samantha Jerusal
Credential
Provider Entity Type
Individual
Gender
Female
Address
2418 W Division St, Chicago, IL, 60622-2940
Phone Number
312-666-3494
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2418 W Division St
City
State
Zip
60622-2940
Phone Number
312-666-3494
Fax Number
person
Provider Business Mailing Address Details
Address
2418 W Division St
City
State
Zip
60622-2940
Phone Number
312-666-3494
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
209.028195 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
501051 (Ohio)
Definition
Definition to come...
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