person
Samantha Jaye Gatewood, NP
General Practice Physician in Chicago, Illinois
NPI 1992390397

Samantha Jaye Gatewood is a General Practice Physician based in Chicago, IL. Samantha Jaye Gatewood practices in Chicago, IL and has the professional credentials of NP. The NPI Number for Samantha Jaye Gatewood is 1992390397 and holds a License No. 209022251 (Illinois).

The current practice location address for Samantha Jaye Gatewood is 600 W Chicago Ave Ste 1, Chicago, IL and can be reached out via phone at 312-625-0845.

Location: 600 W Chicago Ave Ste 1, Chicago, IL, 60654-2801
person
Provider Profile Details
NPI Number
1992390397
Provider Name
Samantha Jaye Gatewood
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
600 W Chicago Ave Ste 1, Chicago, IL, 60654-2801
Phone Number
312-625-0845
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 W Chicago Ave Ste 1
City
State
Zip
60654-2802
Phone Number
312-625-0845
Fax Number
person
Provider Business Mailing Address Details
Address
600 W Chicago Ave Ste 1
City
State
Zip
60654-2802
Phone Number
312-625-0845
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
209022251 (Illinois)
Definition
Definition to come...
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