Individual
SAMANTHA N LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 S PAULINA ST STE 1080, CHICAGO, IL 60612-3806
(312) 942-7117
Mailing address
600 S PAULINA ST STE 1080, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.375053
IL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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